Abstract | BACKGROUND:
Hemoperitoneum due to spontaneous rupture of a visceral vessel may result from a variety of underlying pathologies. However, its idiopathic form does not show evidence of any predisposition. PATIENT AND METHODS: An abdominal CT scan for acute abdominal pain yielded the unexpected diagnosis of a ruptured splenic artery in a 21-year-old patient. Hemostasis was achieved by endovascular coiling of a segmental splenic artery lacking any evidence of pathological transformation. An extensive intraabdominal hematoma was evacuated in a consecutive laparoscopy which, furthermore, confirmed interventional success. Despite extensive diagnostic efforts, the cause of the bleeding remained undefined. CONCLUSION: Spontaneous hemoperitoneum may occasionally be considered as a cause of acute abdomial pain and is diagnostically challenging. An interdisciplinary approach is desirable to meet the objective of modern organ-preserving therapy in splenic artery rupture.
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Authors | J Scheele, S Huttner, L Stettinger, P Sterk |
Journal | Zentralblatt fur Chirurgie
(Zentralbl Chir)
Vol. 135
Issue 4
Pg. 377-9
(Aug 2010)
ISSN: 1438-9592 [Electronic] Germany |
Vernacular Title | Idiopathische spontane Milzarterienruptur. |
PMID | 19842079
(Publication Type: Case Reports, English Abstract, Journal Article)
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Copyright | Georg Thieme Verlag Stuttgart ˙ New York. |
Topics |
- Abdomen, Acute
(etiology)
- Angiography
- Diagnosis, Differential
- Embolization, Therapeutic
- Hemoperitoneum
(etiology, therapy)
- Humans
- Image Processing, Computer-Assisted
- Imaging, Three-Dimensional
- Male
- Rupture, Spontaneous
(diagnosis, pathology, therapy)
- Splenic Artery
- Tomography, X-Ray Computed
- Young Adult
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