RESUMO
A 70-year-old man presented with two medium-sized colon polyps at the office of a gastroenterologist. After endoscopic polypectomy in a hospital, the patient was admitted to another hospital because of collapse and increasing abdominal pain. CT scan revealed hematoperitoneum and splenic subcapsular hematoma. Laparotomy with splenectomy was performed because of extended splenic rupture. The postoperative course was unremarkable except late wound dehiscence.
Assuntos
Pólipos do Colo/complicações , Pólipos do Colo/cirurgia , Endoscopia/efeitos adversos , Baço/lesões , Baço/cirurgia , Ferimentos Penetrantes/etiologia , Ferimentos Penetrantes/cirurgia , Idoso , Humanos , Masculino , Ruptura/etiologia , Ruptura/cirurgia , Resultado do TratamentoRESUMO
Resting fibrinolytic activity and the response of the fibrinolytic system to venous occlusion were studied in a group of healthy middle-aged men. All subjects showed increased fibrinolytic activity but of varying degrees. There was a linear relationship between resting and occluded levels of fibrinolytic activity but many subjects with lower levels of fibrinolytic activity showed an anomalous response. Responses over the expected level were more common than unexpectedly low levels of response. Fibrinogen and plasminogen concentrations were inversely correlated with fibrinolytic activity.