Idiopathic spontaneous haemoperitoneum due to a ruptured middle colic artery aneurysm

Skouras, Christos; Lalountas, Miltiadis; Triantafyllou, Apostolos; Angelidou, Stamatia; Ballas, Konstantinos

doi:10.1016/j.ijscr.2011.05.001

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…Preoperative diagnosis sometimes can be confirmed by angiography, but often patients are diagnosed during surgical exploration. Therefore, a high index of suspicion should be maintained and the diagnosis of ISIH should be included in the differential diagnosis of any unexplained intra-abdominal hemorrhage [4], as early operation with ligation of the bleeding vessel offers an excellent chance for recovery [5].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Apoplexy: A Case Study of Idiopathic Spontaneous Lesser Sac Hematoma

Negmadjanov

Ohanisian

Rubay

et al. 2019

Cureus

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Idiopathic spontaneous intraperitoneal hemorrhage (ISIH) is a rare event associated with high mortality. There have been multiple case reports of spontaneous rupture of middle colic pseudoaneurysms in the literature. Herein, we present a case of a 51-year-old female that presented with spontaneous rupture of the middle colic artery and associated massive intraabdominal hematoma without findings of a pseudoaneurysm. The patient underwent a computed tomography (CT) scan as an outpatient 24 hours prior to the onset of the bleeding due to abdominal pain without findings of hematoma or aneurysm of the mesenteric vessels. Subsequently, the patient underwent emergent exploratory laparotomy with findings of a massive hematoma in the lesser sac and spontaneous bleeding from the middle colic artery that was ligated. The patient had an uneventful postoperative course and fully recovered. To our knowledge, this is the second reported case of idiopathic bleeding from the middle colic artery without evidence of a pseudoaneurysm based on a current review of the literature.

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Section: Introductionmentioning

confidence: 99%

Abdominal Apoplexy: A Case Study of Idiopathic Spontaneous Lesser Sac Hematoma

Negmadjanov

Ohanisian

Rubay

et al. 2019

Cureus

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“…[ 2 ] The preoperative diagnosis remains challenging, despite the recent radiologic advances and surgical exploration is often unavoidable for the diagnosis and treatment. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Abdominal apoplexy because of the rupture of gastroduodenal artery and inferior pancreaticoduodenal artery

Wang

Xiu

2017

Medicine

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Rationale:Abdominal apoplexy is a rare and fatal emergency event, which is coined as a comparison to the cerebrovascular apoplexy. The exact mechanism of abdominal apoplexy was unclear, but arteriosclerosis, hypertension, abdominal aneurysm, and other predisposing angiopathy were considered to be the main reasons of abdominal apoplexy. The development of the imaging technology gave us more opportunities to confirm the diagnosis of abdominal apoplexy. However, the diagnosis and identification of the bleeding sites still continued to be a challenge.Patient concerns:A 55-year-old man presented to the emergency department with chief complains of sudden severe abdominal pain.Diagnosis:The patient was diagnosed as abdominal apoplexy with 2 synchronous bleeding sites.Interventions:Angiography confirmed diagnosis of abdominal apoplexy and revealed 2 synchronous bleeding sites in gastroduodenal artery (GDA) and inferior pancreaticoduodenal artery (IPDA). Transcatheter embolization was performed immediately.Outcomes:The patient recovered and was discharged very soon. Two months later, the patient totally recovered and the hematoma disappeared in the CT imaging.Lessons:The reported case is rare, given the very low incidence of abdominal apoplexy with 2 synchronous bleeding sites in GDA and IPDA. The awareness of abdominal apoplexy was still the key point in the management of this disease. Quick diagnosis by the imaging and immediate embolization were very important for the treatment.

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“…1 Spontaneous hemoperitoneum is defined as the presence of blood in the peritoneal cavity that is not associated with traumas. The cause can be idiopathic or related to spontaneous rupture of either known or unknown pathology.…”

Section: Introductionmentioning

confidence: 99%

Surprise in Pandora Box: Spontaneous Intra-abdominal Hematoma in Pregnancy

Sreedhar¹,

Rajeswari²,

Sivasundari³

2014

Journal of South Asian Federation of Obstetrics and Gynaecology

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Spontaneous intraperitoneal hemorrhage is a rare medical condition associated with high mortalities. It was first described in pregnancy by Barber in 1909. Approximately in an average of 30% of reported cases, the source of bleeding was not identified. Most patients with spontaneous hemoperitoneum frequently presented with acute abdominal pain and might present a wide variety of other clinical presentations.

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Idiopathic spontaneous haemoperitoneum due to a ruptured middle colic artery aneurysm

Abstract: A ruptured middle colic artery aneurysm should be included in the differential diagnosis of any unexplained intra-abdominal haemorrhage. Aneurysmatectomy is the treatment of choice, with radiologic interventional techniques gaining ground in the management of this entity.

Cited by 7 publications

References 12 publications

Abdominal Apoplexy: A Case Study of Idiopathic Spontaneous Lesser Sac Hematoma

Abdominal Apoplexy: A Case Study of Idiopathic Spontaneous Lesser Sac Hematoma

Abdominal apoplexy because of the rupture of gastroduodenal artery and inferior pancreaticoduodenal artery

Surprise in Pandora Box: Spontaneous Intra-abdominal Hematoma in Pregnancy

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