Spontaneous Splenic Artery Pseudoaneurysm Rupture Causing Hemorrhagic Shock.
angiography
hemorrhage
imaging
pseudoaneurysm
pseudoaneurysm of splenic artery
retroperitoneum
splenic trauma
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
26 May 2020
26 May 2020
Historique:
entrez:
1
7
2020
pubmed:
1
7
2020
medline:
1
7
2020
Statut:
epublish
Résumé
Splenic artery pseudoaneurysm (SAP) is an uncommon etiology of acute abdominal pain, requiring a high degree of clinical suspicion to diagnose in a timely manner. There are currently no reports of spontaneous SAP ruptures in the emergency medicine literature. We report a case of a man who presented with acute abdominal pain secondary to an SAP. A computed tomography angiography scan of the abdomen revealed a ruptured SAP with hemoperitoneum. He successfully underwent emergency laparotomy and surgical ligation of his SAP with splenectomy. SAP rupture remains an under-recognized etiology of abdominal pain, even though it is the most frequent type of visceral pseudoaneurysm. Our case herein reinforces the importance of a broad list of differential diagnoses in the patient with acute abdominal pain, as well as the importance of the emergency physician in identifying an emergent condition and then directing the initial stabilization, resuscitation, and management.
Identifiants
pubmed: 32601561
doi: 10.7759/cureus.8286
pmc: PMC7317116
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e8286Informations de copyright
Copyright © 2020, Montrief et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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