Abstract
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.
Reference17 articles.
1. A Case of Traumatic Mesenteric Bleeding Controlled by only Transcatheter Arterial Embolization
2. [Abdominal bleeding due to spontaneous mesenteric vein rupture];García;Acta Gastroenterol Latinoam,2006
3. [Spontaneous haemoperitoneum due to a ruptured intra-abdominal varix with cirrhosis: report of two cases];Puche;J Chir,2007
4. Mesenteric Hematoma Suggests Rupture of Visceral Artery Aneurysm
5. Case of a bleeding pseudoaneurysm of the middle colic artery complicating acute pancreatitis;Toyonaga;Hepatogastroenterology,2002
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献