| [Spontaneous rupture of a splenic artery]. | |
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MedLine Citation:
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PMID: 19842079 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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:
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J Scheele; S Huttner; L Stettinger; P Sterk |
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Publication Detail:
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Type: English Abstract; Journal Article Date: 2009-10-19 |
Journal Detail:
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Title: Zentralblatt für Chirurgie Volume: 135 ISSN: 1438-9592 ISO Abbreviation: Zentralbl Chir Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0413645 Medline TA: Zentralbl Chir Country: Germany |
Other Details:
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Languages: ger Pagination: 377-9 Citation Subset: IM |
Copyright Information:
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Georg Thieme Verlag Stuttgart ˙ New York. |
Affiliation:
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Abteilung für Allgemein-, Viszeral- und Gefässchirurgie mit Department Kinderchirurgie des Klinikums Kempten-Oberallgäu, Kempten (Allgäu), Deutschland. jscheele@gmx.net |
Vernacular Title:
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Idiopathische spontane Milzarterienruptur. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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