Idiopathic omental hemorrhage: a case report and review of the literature.
Computed tomography
Diagnosis
Omental bleeding
Surgery
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
28 Aug 2023
28 Aug 2023
Historique:
received:
06
04
2023
accepted:
03
08
2023
medline:
29
8
2023
pubmed:
28
8
2023
entrez:
27
8
2023
Statut:
epublish
Résumé
A spontaneous rupture of an omental vessel can cause severe intraabdominal hemorrhage. We present a case of idiopathic omental hemorrhage caused by a vascular malformation. The literature is systematically reviewed. A 65-year-old Iranian man was admitted to the emergency department for 10 days with abdominal pain. His medical history was not significant. Fever, vomiting, nausea, or anorexia were not reported. However, he was suffering from diaphoresis and malaise at the time. He did not smoke or drink alcohol. During physical examination, blood pressure was 82/60 mmHg with a temperature of 36.6 °C; heart rate was 96 beats/minute and respiratory rate was 18 breaths per/minute. An abdominal examination revealed mild tenderness in the periumblical. The focused assessment with sonography in trauma examination yielded positive results. The complete blood count showed 14 × 10 Presence of positive focused assessment with sonography in trauma, abdominal pain, imaging evidence of fluid accumulation, and a reduction in hemoglobin levels collectively indicate the likelihood of arteriovenous malformation occurrence. The treatment options include surgical intervention and transcatheter arterial embolization. Surgical intervention is recommended for subjects with hemodynamic instability, persistent hypotension and those whose diagnosis is unconfirmed.
Sections du résumé
BACKGROUND
BACKGROUND
A spontaneous rupture of an omental vessel can cause severe intraabdominal hemorrhage. We present a case of idiopathic omental hemorrhage caused by a vascular malformation. The literature is systematically reviewed.
CASE PRESENTATION
METHODS
A 65-year-old Iranian man was admitted to the emergency department for 10 days with abdominal pain. His medical history was not significant. Fever, vomiting, nausea, or anorexia were not reported. However, he was suffering from diaphoresis and malaise at the time. He did not smoke or drink alcohol. During physical examination, blood pressure was 82/60 mmHg with a temperature of 36.6 °C; heart rate was 96 beats/minute and respiratory rate was 18 breaths per/minute. An abdominal examination revealed mild tenderness in the periumblical. The focused assessment with sonography in trauma examination yielded positive results. The complete blood count showed 14 × 10
CONCLUSION
CONCLUSIONS
Presence of positive focused assessment with sonography in trauma, abdominal pain, imaging evidence of fluid accumulation, and a reduction in hemoglobin levels collectively indicate the likelihood of arteriovenous malformation occurrence. The treatment options include surgical intervention and transcatheter arterial embolization. Surgical intervention is recommended for subjects with hemodynamic instability, persistent hypotension and those whose diagnosis is unconfirmed.
Identifiants
pubmed: 37635238
doi: 10.1186/s13256-023-04112-8
pii: 10.1186/s13256-023-04112-8
pmc: PMC10463599
doi:
Types de publication
Review
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
368Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
J Trauma Acute Care Surg. 2013 Jul;75(1 Suppl 1):S48-52
pubmed: 23778511
BMC Surg. 2018 May 30;18(1):33
pubmed: 29848342
Hum Pathol. 1984 Mar;15(3):233-7
pubmed: 6698542
Case Rep Radiol. 2012;2012:273027
pubmed: 23316406
Ann Med Surg (Lond). 2022 Sep 15;82:104704
pubmed: 36268357
J Gastroenterol Hepatol. 2022 Feb;37(2):282
pubmed: 34390039
Curr Biol. 2017 Jul 24;27(14):R713-R715
pubmed: 28743020
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S142-5
pubmed: 20694465
CVIR Endovasc. 2022 Jan 27;5(1):7
pubmed: 35084561
Front Med (Lausanne). 2022 Sep 01;9:927899
pubmed: 36117972
Cureus. 2021 Jun 21;13(6):e15795
pubmed: 34306864
J Cardiovasc Surg (Torino). 1999 Feb;40(1):63-4
pubmed: 10221388
Forensic Sci Med Pathol. 2022 Dec;18(4):470-473
pubmed: 35648287
Emerg Radiol. 2007 Jun;14(2):65-75
pubmed: 17342463
Br Med J. 1979 Sep 15;2(6191):642-3
pubmed: 497755
Int J Surg Case Rep. 2016;28:214-218
pubmed: 27721201
J Med Imaging Radiat Oncol. 2020 Jun;64(3):319-325
pubmed: 32216060
Medicine (Baltimore). 2017 Dec;96(51):e9463
pubmed: 29390583
Ann R Coll Surg Engl. 2021 Sep;103(8):e266-e268
pubmed: 34464569