Document Detail

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