Document Detail

Ruptured mycotic pseudoaneurysm of the gastroduodenal artery presenting with hemoperitoneum and subcapsular liver hematoma.
MedLine Citation:
PMID:  2331959     Owner:  NLM     Status:  MEDLINE    
We report a case of a patient with mycotic pseudoaneurysm of the gastroduodenal artery who presented with hemoperitoneum and subcapsular hematoma of the liver. The diagnosis was established with contrasted abdominal CT scanning. Visceral angiography was not needed. Prompt recognition and surgical intervention led to a favorable outcome. Pseudoaneurysm of visceral vessels is an uncommon disease process, and to our knowledge, this is the first reported case that has presented with free blood in the peritoneal cavity and beneath the liver capsule. This case may also represent a rare complication of therapeutic ERCP procedures. Mycotic aneurysm or pseudoaneurysm of visceral vessels may develop from bacteremia and its dissection or rupture should be suspected in patients presenting with sepsis and abdominal pain.
D W Rogers; L Lumeng; R J Goulet; D F Canal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  35     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-06-07     Completed Date:  1990-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  661-4     Citation Subset:  AIM; IM    
Department of Medicine, Indiana University Medical Center, Indianapolis 46223.
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MeSH Terms
Aneurysm, Infected / complications*,  diagnosis,  surgery
Diagnosis, Differential
Hematoma / complications*
Hemoperitoneum / complications*
Liver Diseases / complications*
Tomography, X-Ray Computed
Viscera / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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