Document Detail

Spontaneous retroperitoneal hemorrhage in a mediastinal tumor in a patient with polymyositis: a case report.
MedLine Citation:
PMID:  18926959     Owner:  NLM     Status:  MEDLINE    
Spontaneous retroperitoneal hemorrhage is a lethal cause of acute abdomen that is most frequently related to drugs, coagulopathy and intra-abdominal tumors. In patients with polymyositis and dermatomyositis, acute abdomen is attributed to intestinal vasculitis causing ischemia, ulceration or perforation. Spontaneous retroperitoneal hemorrhage, however, has rarely been reported in patients with polymyositis. We report the case of a 65-year-old woman with newly diagnosed polymyositis and suspected thymoma who suffered from spontaneous retroperitoneal hemorrhage. She experienced two massive retroperitoneal hemorrhage episodes within 24 hours, which resulted in shock and required emergent angiographic embolization. There was no evidence of tumor, vasculitis or aneurysm from abdominal angiography and computed tomography.
Tzu-Jung Fang; Shih-Chieh Hsu; Ming-Chen Shih; Cheng-Yuan Wang; Ling-I Chen; Yi-Chun Tsai; Yu-Chih Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Kaohsiung journal of medical sciences     Volume:  24     ISSN:  1607-551X     ISO Abbreviation:  Kaohsiung J. Med. Sci.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-17     Completed Date:  2009-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960562     Medline TA:  Kaohsiung J Med Sci     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  436-40     Citation Subset:  IM    
Division of General Internal Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
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MeSH Terms
Hemorrhage / etiology*
Mediastinal Neoplasms / complications*
Polymyositis / complications*
Retroperitoneal Space / blood supply*

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

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