ABSTRACT
Massive hemothorax is an indication for thoracotomy. We report a case of an 85-year-old debilitated patient, in whom massive hemorrhage from an actively bleeding intercostal artery was controlled by angiographic embolization. Angiographic embolization proved to be an effective alternative to thoracotomy in this patient, thus avoiding numerous postoperative complications and high mortality. Massive bleeding from an intercostal artery should be considered an indication for angiographic embolization in selected patients.
Subject(s)
Embolization, Therapeutic/methods , Hemothorax/therapy , Thoracic Arteries/injuries , Accidental Falls , Aged , Aged, 80 and over , Chest Tubes , Hemothorax/etiology , Humans , Male , Rib Fractures/complications , Thoracostomy , Treatment OutcomeABSTRACT
Perforation of a mesenteric cyst is a very rare complication of a very unusual lesion. Acute presentation is the rule in half of all affected children. Ultrasonography and computed tomography are the best preoperative diagnostic tools. The treatment of choice is an urgent laparotomy and complete cyst removal. Results are good in cases that are operated on in a timely manner.