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1.
Cir Cir ; 89(S1): 93-96, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34762635

RESUMO

Hemoperitoneum secondary to non-traumatic liver rupture is a rare cause of an acute abdomen. We present the case of a patient with a hepatic rupture secondary to metastasis of a gastrointestinal stromal tumor (GIST) who required an emergent laparotomy due to hemodynamic instability. Intraoperatively, a lesion of more than 20cm dependent on the posterior gastric wall and a hemoperitoneum secondary to rupture of liver metastases and decapsulation of the Glisson capsule was evidenced. A frequent complication of GIST tumors is its rupture causing gastrointestinal bleeding or hemoperitoneum, as occurred in our case.


Assuntos
Abdome Agudo , Tumores do Estroma Gastrointestinal , Neoplasias Hepáticas , Abdome Agudo/etiologia , Tumores do Estroma Gastrointestinal/complicações , Hemoperitônio/etiologia , Humanos , Neoplasias Hepáticas/complicações , Ruptura Espontânea
2.
BMJ Case Rep ; 14(11)2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34728504

RESUMO

A 39-year-old woman presented in the emergency ward for abdominal pain and acute anemiation. Abdominal-thoracic CT scan showed haemoperitoneum, with a parauterine mass and a pathological pulmonary pattern suspicious for lymphangioleiomyomatosis (LAM), a systemic disease belonging to perivascular epithelioid cell tumours (PEComas). Gynaecological ultrasound showed a hypoechoic irregular solid mass of the uterine right wall. Ultrasonographic virtual organ computer-aided analysis showed the mass completely formed by arteriovenous vessels, and that allowed distinction from leiomyosarcoma. Repeated haemoperitoneum required uterine artery embolisation. Mass revascularisation occurred in the following 7 days. A laparotomic hysterectomy with removal of the uterus and right parametrium was performed in epidural analgesia. Histological features were consistent with the diagnosis of uterine PEComa of uncertain malignant features, in the presence of coexisting pulmonary LAM. In women with LAM, acute haemoperitoneum may indicate the presence of a uterine PEComa whose diagnosis can be challenging.


Assuntos
Linfangioleiomiomatose , Neoplasias de Células Epitelioides Perivasculares , Adulto , Feminino , Hemoperitônio/diagnóstico por imagem , Hemoperitônio/etiologia , Hemoperitônio/cirurgia , Humanos , Histerectomia , Linfangioleiomiomatose/diagnóstico , Linfangioleiomiomatose/diagnóstico por imagem , Neoplasias de Células Epitelioides Perivasculares/complicações , Neoplasias de Células Epitelioides Perivasculares/diagnóstico por imagem , Neoplasias de Células Epitelioides Perivasculares/cirurgia , Útero
3.
Ceska Gynekol ; 86(5): 335-338, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34736332

RESUMO

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide. Early dia-gnosis and treatment are essential to prevent sequelae or even death. We describe a rare case of early postpartum haemorrhage with hemoperitoneum due to a laceration of the uterine serosa with exposure of a uterine vessel solved by laparotomy.


Assuntos
Lacerações , Hemorragia Pós-Parto , Feminino , Hemoperitônio/etiologia , Humanos , Hemorragia Pós-Parto/etiologia , Período Pós-Parto , Gravidez , Útero
4.
Prague Med Rep ; 122(3): 216-221, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34606434

RESUMO

Coagulopathy with defibrination is one of symptoms accompanying snakebite envenoming, where life-threatening complications such as massive bleeding and organ hematomas formation can occur. Here, we report a case of hemocoagulation failure due to bite by African Great Lakes bush viper Atheris nitschei with impossibility of specific treatment for absence of antivenom and its life-threatening complication: very rare and unexpected atraumatic splenic rupture with massive hemoperitoneum and necessity of urgent splenectomy.


Assuntos
Mordeduras de Serpentes , Ruptura Esplênica , Viperidae , Animais , Antivenenos/uso terapêutico , Hemoperitônio/etiologia , Humanos , Mordeduras de Serpentes/complicações , Ruptura Esplênica/diagnóstico , Ruptura Esplênica/etiologia , Ruptura Esplênica/cirurgia , Venenos de Víboras
5.
BMJ Case Rep ; 14(10)2021 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-34607815

RESUMO

This is a case of a 47-year-old woman with a spontaneous haemoperitoneum secondary to uterine leiomyomas (fibroids), an important differential diagnosis in patients with uterine fibroids and hypovolaemic shock. Uterine fibroids are very common in women of reproductive age, yet little is taught about their potential to cause hypovolaemic shock. Although it is a rare complication, given the prevalence of fibroids, it is important to bear this life-threatening differential in mind to optimise the care for these women. Presentation typically involves abdominal pain, syncope, haemodynamic instability and an intra-abdominal mass. CT of the abdomen and pelvis can be helpful in identifying the source of the haemoperitoneum, but should not delay surgery, which is the definitive management.


Assuntos
Leiomioma , Choque , Neoplasias Uterinas , Diagnóstico Diferencial , Feminino , Hemoperitônio/diagnóstico por imagem , Hemoperitônio/etiologia , Hemoperitônio/cirurgia , Humanos , Leiomioma/complicações , Leiomioma/diagnóstico por imagem , Leiomioma/cirurgia , Pessoa de Meia-Idade , Choque/etiologia , Neoplasias Uterinas/complicações , Neoplasias Uterinas/diagnóstico , Neoplasias Uterinas/cirurgia
7.
BMJ Case Rep ; 14(10)2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34670746

RESUMO

Though rare, atraumatic rupture of the spleen can be a complication in certain leukaemias and lymphomas. We present a unique case of atraumatic rupture of the spleen in a patient with chronic lymphocytic leukaemia. The patient presented to the emergency department with abdominal pain; he had been on ibrutinib therapy but stopped taking the medication abruptly 6 days prior. On evaluation, he was found to have a ruptured spleen with a haemoperitoneum. Pathology of the excised spleen showed infiltration of the spleen with hyperproliferated CD5+ intermediate-to-large cells, consistent with B-cell lymphoma and favouring Richter's transformation. There are only a few available reports of patients with similar presentations identified in our literature review.


Assuntos
Leucemia Linfocítica Crônica de Células B , Linfoma Difuso de Grandes Células B , Ruptura Esplênica , Hemoperitônio , Humanos , Leucemia Linfocítica Crônica de Células B/complicações , Leucemia Linfocítica Crônica de Células B/tratamento farmacológico , Masculino , Ruptura Espontânea , Ruptura Esplênica/diagnóstico por imagem , Ruptura Esplênica/etiologia , Ruptura Esplênica/cirurgia
8.
BMJ Case Rep ; 14(9)2021 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-34511413

RESUMO

A 20-year-old nulliparous patient with acute-onset abdominal pain and imaging suggestive of haemoperitoneum was admitted for observation. Though, initially, haemodynamically stable, her clinical picture worsened throughout her hospitalisation and warranted two separate laparoscopies that revealed 1200 mL and 50 mL of haemoperitoneum, respectively, without an identifiable bleeding source. After serial ß-human chorionic gonadotropin levels and ultrasound confirmation of a viable pregnancy 23 days later, the patient underwent a normal antenatal course and delivered a healthy infant at 37 weeks gestation. This unusual case highlights the need to consider spontaneous haemoperitoneum in pregnancy as a diagnosis, particularly in the setting of pregnancy of unknown location, even at an early stage of pregnancy.


Assuntos
Gonadotropina Coriônica Humana Subunidade beta , Hemoperitônio , Dor Abdominal/etiologia , Adulto , Feminino , Idade Gestacional , Hemoperitônio/diagnóstico por imagem , Hemoperitônio/etiologia , Humanos , Gravidez , Ultrassonografia , Adulto Jovem
9.
Rev Med Chil ; 149(4): 635-640, 2021 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-34479353

RESUMO

Hepatocellular carcinoma (HCC) rupture is a rare complication, with a higher prevalence in countries of Asia and Europe. Its clinical manifestations can be nonspecific, from abdominal pain and bloating to hemodynamic involvement. We report a 70-year-old male patient with a history of chronic liver disease, presenting with an enlargement and ecchymosis of the scrotum, associated with abdominal bloating. The initial abdominal ultrasound study showed increased liquid content in the scrotal sac and regional edema. A CT of the abdomen and pelvis showed a liver mass with characteristics of hepatocellular carcinoma, associated with extensive hemoperitoneum that drained into the scrotal sac. The patient was treated with embolization of the right hepatic artery and later with surgical resection of the tumor mass, with a good clinical evolution.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Idoso , Carcinoma Hepatocelular/complicações , Carcinoma Hepatocelular/diagnóstico por imagem , Hematocele , Hemoperitônio/diagnóstico por imagem , Hemoperitônio/etiologia , Humanos , Neoplasias Hepáticas/complicações , Masculino , Ruptura Espontânea/diagnóstico por imagem
10.
BMC Pregnancy Childbirth ; 21(1): 611, 2021 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493243

RESUMO

BACKGROUND: Ovarian dysgerminoma, a subtype of malignant germ cell tumor (GCT), is a rare ovarian neoplasm that is infrequently found in the gravid patient. When dysgerminomas do occur in pregnancy, the rapidly growing tumors can have a heterogeneous presentation and lead to peripartum complications and morbidity. Due to the rarity of this condition, diagnostic and therapeutic strategies are not well described in the literature. CASE PRESENTATION: A healthy multigravida with an uncomplicated antenatal history presented for elective induction of labor. She had a protracted labor course, persistently abnormal cervical examinations, and eventually developed a worsening Category II tracing that prompted cesarean birth. Intraoperatively, a 26 cm pelvic mass later identified as a Stage IA dysgerminoma was discovered along with a massive hemoperitoneum. The mass was successfully resected, and the patient remains without recurrence 6 months postoperatively. CONCLUSION: Although rare and generally indolent, dysgerminomas can grow rapidly and cause mechanical obstruction of labor and other complications in pregnancy. Pelvic masses, including malignant neoplasms, should be included in as part of a broad differential diagnosis when evaluating even routine intrapartum complications such as abnormal labor progression. Additionally, we demonstrate that adnexal masses can be a source of life-threatening intraabdominal hemorrhage.


Assuntos
Disgerminoma/complicações , Disgerminoma/diagnóstico , Distocia/etiologia , Hemoperitônio/etiologia , Neoplasias Ovarianas/complicações , Neoplasias Ovarianas/diagnóstico , Complicações Neoplásicas na Gravidez/diagnóstico , Adulto , Diagnóstico Diferencial , Disgerminoma/terapia , Feminino , Humanos , Achados Incidentais , Neoplasias Ovarianas/terapia , Gravidez , Complicações Neoplásicas na Gravidez/terapia , Resultado do Tratamento
11.
Leg Med (Tokyo) ; 53: 101966, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34543822

RESUMO

We report findings from an autopsy case who died from massive bleeding because of splenic peliosis. The case subject was an 80-year-old man who had diabetes mellitus and who was receiving hemodialysis and anticoagulant therapy. Postmortem computed tomography demonstrated massive intra-abdominal hemorrhage especially seen around the spleen. At autopsy, we found abundant hemorrhagic ascites, including a large number of clots, in the abdominal cavity. The spleen had several distinct dark red areas ranging in size from 1.5 to 2.5 cm and showed spontaneous rupture along with hematoma formation on the outside of the splenic capsule on the anterior side. From these findings, we concluded that the cause of death in this case was massive hemorrhage owing to spontaneous rupture of splenic peliosis. Although peliosis itself rarely causes death, but when it is destroyed, massive bleeding leads to death. Thus, it is necessary to know the histopathological characteristics of peliosis, in forensics.


Assuntos
Ruptura Esplênica , Idoso de 80 Anos ou mais , Autopsia , Hemoperitônio/etiologia , Humanos , Masculino , Ruptura Espontânea , Ruptura Esplênica/diagnóstico por imagem
12.
Sci Rep ; 11(1): 17766, 2021 09 17.
Artigo em Inglês | MEDLINE | ID: mdl-34531415

RESUMO

The aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January 2010 and March 2015. The patients were divided into two groups: surgical and conservative management. The differences in characteristics between the two groups were compared. The indicators that determine the need of a surgery at the initial visit were also compared between the two groups. Initial hemoglobin level was lower (11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL; p = 0.007) in the surgery group. There were significant differences in posterior cul-de-sac (PCDS) fluid collection depth (6.2 ± 2.5 cm vs. 4.5 ± 1.6 cm, p = 0.000), total fluid collection depth (8.4 ± 1.8 cm vs. 6.5 ± 2.1 cm, p = 0.000), single deepest pocket depth (6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm, p = 0.006), liver-dome fluid (78.9% vs. 35.6%; p = 0.002), and estimated intrapelvic bleeding amount (325 ± 250 cc vs. 206 ± 146.5 cc, p = 0.002). The extravasation over grade 2 was more often in surgery group (68.4% vs. 30.1%; p = 0.001). PCDS fluid collection depth, the presence of liver-dome fluid, and the severity of contrast extravasation through ultrasonography and computed tomography are good indicators for determining the management of hemoperitoneum resulting from corpus luteum cyst rupture in healthy women.


Assuntos
Corpo Lúteo/patologia , Hemoperitônio/etiologia , Cistos Ovarianos/complicações , Ruptura/complicações , Adulto , Feminino , Hemoperitônio/patologia , Hemoperitônio/cirurgia , Humanos , Cistos Ovarianos/patologia , Estudos Retrospectivos , Fatores de Risco , Ruptura/patologia
13.
BMJ Case Rep ; 14(8)2021 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-34389596

RESUMO

Spontaneous mesenteric bleeding is an exceptionally rare clinical condition and potentially lethal especially among elderly patients who are taking oral anticoagulant. We present a case of a 79-year-old woman who presented to the emergency department with atypical chest pain which was radiating to the back. She developed profound hypotension with a sudden drop of haemoglobin. Contrast-enhanced CT of the aorta showed active mesenteric bleeding with mesenteric haematoma. The early diagnosis relies solely on a high index of suspicion of occult bleeding in patients with unexplained hypotension with a sudden drop of haemoglobin. Troponin can be falsely positive in mesenteric bleeding. Close monitoring to detect any sign of deterioration and early imaging in diagnosing intra-abdominal bleeding can help to avoid delay in treatment which is essential to prevent mortality and morbidity.


Assuntos
Mesentério , Doenças Peritoneais , Idoso , Serviço Hospitalar de Emergência , Feminino , Hematoma/diagnóstico por imagem , Hemoperitônio , Humanos
14.
Pan Afr Med J ; 39: 52, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34422175

RESUMO

Heterotopic pregnancy is a rare obstetrics phenomenon and carries significant maternal morbidity and mortality due to the risk of rupture of the ectopic pregnancy. Physicians tend to feel comfortable and relieved when an intrauterine gestation sac is seen. This results in an inadequate inspection of the adnexae and remaining structures during emergency bedside ultrasound despite a strong initial clinical suspicion of ectopic pregnancy. We present a case report of ruptured ectopic pregnancy and massive hemoperitoneum in a patient with heterotopic pregnancy. The diagnosis was done on bedside ultrasonography in a clinically unstable 32-year-old patient with a history of infertility. She presented with acute abdominal pain, body weakness, and amenorrhea. She underwent emergency laparotomy and salpingectomy. In our context where ultrasound is not readily available, practitioners carrying out salpingectomy for ruptured ectopic pregnancies should bear in mind the plausibleness of heterotopic pregnancy to properly handle the uterus.


Assuntos
Hemoperitônio/etiologia , Gravidez Heterotópica/diagnóstico por imagem , Salpingectomia/métodos , Dor Abdominal/etiologia , Adulto , Camarões , Feminino , Humanos , Laparotomia/métodos , Gravidez , Ruptura Espontânea/diagnóstico por imagem , Ultrassonografia Pré-Natal
15.
Ned Tijdschr Geneeskd ; 1652021 08 05.
Artigo em Holandês | MEDLINE | ID: mdl-34351718

RESUMO

BACKGROUND: Ovulation may lead to abdominal pain. It is well-known that ovulation can cause intra-abdominal bleeding. However, literature on hypovolemic shock due to an ovarian bleeding is scarce. CASE DESCRIPTION: A 30-year-old woman visited the emergency room because of acute pain of the lower abdomen. Her skin was pale, her vital signs were normal and a pregnancy test was negative. At presentation, her blood pressure decreased to 87/50 mmHg. Therefore, intra-abdominal bleeding was suspected and the gynecologist was consulted. On ultrasound, intraperitoneal fluid was seen, so we proceeded to emergency laparoscopy. During surgery, we found a bleeding corpus luteum (corpus rubrum) leading to 2.5 L of free intra-abdominal blood. The bleeding was stopped intraoperatively. CONCLUSION: A bleeding corpus luteum can lead to hypovolemic shock. Ovarian bleeding should be considered in case of shock combined with lower abdominal pain, ultrasound should be performed promptly and the gynecologist has to be consulted.


Assuntos
Choque , Dor Abdominal , Adulto , Feminino , Hemoperitônio/etiologia , Hemoperitônio/cirurgia , Humanos , Ovário , Gravidez , Choque/etiologia , Ultrassonografia
17.
Ann R Coll Surg Engl ; 103(8): e266-e268, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34464569

RESUMO

Haemorrhagic events in patients diagnosed with coronavirus disease 19 (COVID-19) are infrequent but reports have accumulated since the beginning of the pandemic. The pathophysiological mechanisms are unclear, but endothelial damage secondary to systemic vasculitis and the onset of anticoagulation therapy, both associated with severe forms of the infection, have been proposed to play a role in the development of this complication. We present the case of a 66-year-old man who presented to the emergency department with acute abdominal pain, hypotension and decrease of consciousness, a few hours after being discharged after a prolonged hospitalisation of 26 days due to severe SARS-CoV-2 pneumonia. Initial resuscitation was carried out and, when haemodynamic stabilisation was achieved, a computed tomography scan showed contrast extravasation at the topography of the greater omentum. Urgent angiography revealing contrast extravasation originating in a pseudoaneurysm dependent on the right gastroepiploic artery was done, and embolisation with cyanoacrylate was performed at the bleeding point. Owing to persistent haemodynamic instability despite angiographic treatment and aggressive resuscitation, emergency laparotomy was indicated. Partial resection of the greater omentum was carried out and histopathologic examination showed a 5cm×4cm×6cm haematoma, with no signs of abnormalities such as aneurysm or malignancy. No rebleeding occurred. Spontaneous haemorrhage of the greater omentum associated with haemoperitoneum is a serious condition, with reported mortality rates exceeding 30%. This case highlights a very infrequent but potentially life-threatening complication in a patient diagnosed with COVID-19 on anticoagulation therapy.


Assuntos
COVID-19/complicações , Hemoperitônio/etiologia , Hemorragia/virologia , Omento/cirurgia , Doenças Peritoneais/virologia , Idoso , Hemoperitônio/cirurgia , Hemorragia/cirurgia , Humanos , Masculino , Doenças Peritoneais/cirurgia
18.
J Trauma Acute Care Surg ; 91(2S Suppl 2): S99-S106, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34324472

RESUMO

BACKGROUND: Noncompressible hemorrhage is a leading cause of potentially survivable combat death, with the vast majority of such deaths occurring in the out-of-hospital environment. While large animal models of this process are important for device and therapeutic development, clinical practice has changed over time and past models must follow suit. Developed in conjunction with regulatory feedback, this study presents a modernized, out-of-hospital, noncompressible hemorrhage model, in conjunction with a randomized study of past, present, and future fluid options following a hypotensive resuscitation protocol consistent with current clinical practice. METHODS: We performed a randomized controlled experiment comparing three fluid resuscitation options in Yorkshire swine. Baseline data from animals of same size from previous experiments were analyzed (n = 70), and mean systolic blood pressure was determined, with a permissive hypotension resuscitation target defined as a 25% decrease from normal (67 mm Hg). After animal preparation, a grade IV to V liver laceration was induced. Animals bled freely for a 10-minute "time-to-responder" period, after which resuscitation occurred with randomized fluid in boluses to the goal target: 6% hetastarch in lactated electrolyte injection (HEX), normal saline (NS), or fresh whole blood (FWB). Animals were monitored for a total simulated "delay to definitive care" period of 2 hours postinjury. RESULTS: At the end of the 2-hour study period, 8.3% (1 of 12 swine) of the HEX group, 50% (6 of 12 swine) of the NS group, and 75% (9 of 12 swine) of the FWB had survived (p = 0.006), with Holm-Sidak pairwise comparisons showing a significant difference between HEX and FWB and (p = 0.005). Fresh whole blood had significantly higher systemic vascular resistance and hemoglobin levels compared with other groups (p = 0.003 and p = 0.001, respectively). CONCLUSION: Survival data support the movement away from HEX toward NS and, preferably, FWB in clinical practice and translational animal modeling. The presented model allows for future research including basic science, as well as translational studies of novel diagnostics, therapeutics, and devices.


Assuntos
Traumatismos Abdominais/terapia , Hidratação/métodos , Hemoperitônio/terapia , Ressuscitação/métodos , Choque Hemorrágico/terapia , Traumatismos Abdominais/mortalidade , Traumatismos Abdominais/fisiopatologia , Animais , Modelos Animais de Doenças , Hidratação/mortalidade , Hemoperitônio/mortalidade , Hemoperitônio/fisiopatologia , Fígado/lesões , Masculino , Ressuscitação/mortalidade , Choque Hemorrágico/mortalidade , Choque Hemorrágico/fisiopatologia , Suínos
19.
J Med Case Rep ; 15(1): 327, 2021 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-34174941

RESUMO

BACKGROUND: In the field of oncofertility, patients with breast cancer are often administered letrozole as an adjuvant drug before and after oocyte retrieval to prevent an increase in circulating estradiol. CASE PRESENTATION: We report a case of abdominal hemorrhage due to an ovarian rupture in a 29-year-old Japanese patient who restarted letrozole 2 days after an oocyte retrieval procedure in which 14 mature oocytes were retrieved. The patient had sought embryo cryopreservation as a fertility preservation option before undergoing treatment for recurrent breast cancer. A day after restarting letrozole treatment, the patient unexpectedly developed severe abdominal pain. Laparoscopic hemostasis was performed to manage the ovarian swelling and hemorrhage. CONCLUSIONS: The ovaries can be restimulated by restart letrozole after an oocyte retrieval procedure. Therefore, reproductive-medicine practitioners should understand the potential complications of letrozole administration in such cases and take steps to ensure that they are minimized.


Assuntos
Neoplasias da Mama , Preservação da Fertilidade , Adulto , Feminino , Hemoperitônio , Humanos , Letrozol , Recidiva Local de Neoplasia , Recuperação de Oócitos , Indução da Ovulação
20.
Clin J Gastroenterol ; 14(5): 1371-1375, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34143377

RESUMO

Endoscopic ultrasonography has become a routine procedure in clinical practice and is widely accepted as a safe procedure. Previous studies have reported that severe bleeding rarely occurs even when performing fine-needle aspiration biopsy. Severe hemorrhage following non-interventional endoscopic ultrasonography has never been reported. We herein report a case of hemorrhagic shock due to hemoperitoneum caused by a ruptured right gastroepiploic artery consequent to a diagnostic endoscopic ultrasonography. The patient was administered two antithrombotic agents. An extensive diagnostic workup contributed to the correct diagnosis, which led to a successful treatment by transcatheter arterial embolization. Endoscopists should be aware of this rare, but potentially fatal, adverse event of endoscopic ultrasonography.


Assuntos
Artéria Gastroepiploica , Hemoperitônio , Endossonografia , Artéria Gastroepiploica/diagnóstico por imagem , Hemoperitônio/diagnóstico por imagem , Hemoperitônio/etiologia , Artéria Hepática , Humanos , Ultrassonografia
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