Abdominal apoplexy after pulmonary lobectomy for lung cancer

J. H. Fu; M. Zhao; Y. R. Lin; X. D. Tian; L. X. Wang

doi:10.7727/wimj.2015.064

Abdominal apoplexy after pulmonary lobectomy for lung cancer

J. H. Fu, M. Zhao, Y. R. Lin, X. D. Tian, L. X. Wang

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Abdominal apoplexy is a rare clinical entity, and its clinical manifestations are diverse. Case report: A 52-year-old man developed severe right upper abdominal pain with unstable hemodynamics 24h after right upper pulmonary lobectomy for a lung carcinoma. Abdominal ultrasound and computed tomography (CT) were performed before exploratory laparotomy. Abdominal CT showed a ruptured right gastric artery aneurysm, which was confirmed by exploratory laparotomy. Three liters of blood was drained from the abdominal and pelvic cavity, and the offending artery was ligated. The patient had a full recovery. Conclusions: Abdominal apoplexy may present with non-specific symptoms. Abdominal ultrasound and CT scan are the diagnostic tests of choice. Laparotomy should be performed in a timely manner when the diagnosis is suspected.

Original language	English
Pages (from-to)	289-291
Number of pages	3
Journal	West Indian Medical Journal
Volume	67
Issue number	3
Early online date	25 Apr 2016
DOIs	https://doi.org/10.7727/wimj.2015.064
Publication status	Published - 19 Nov 2018

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10.7727/wimj.2015.064

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title = "Abdominal apoplexy after pulmonary lobectomy for lung cancer",

abstract = "Background: Abdominal apoplexy is a rare clinical entity, and its clinical manifestations are diverse. Case report: A 52-year-old man developed severe right upper abdominal pain with unstable hemodynamics 24h after right upper pulmonary lobectomy for a lung carcinoma. Abdominal ultrasound and computed tomography (CT) were performed before exploratory laparotomy. Abdominal CT showed a ruptured right gastric artery aneurysm, which was confirmed by exploratory laparotomy. Three liters of blood was drained from the abdominal and pelvic cavity, and the offending artery was ligated. The patient had a full recovery. Conclusions: Abdominal apoplexy may present with non-specific symptoms. Abdominal ultrasound and CT scan are the diagnostic tests of choice. Laparotomy should be performed in a timely manner when the diagnosis is suspected.",

keywords = "Abdominal apoplexy, Bleeding, Gastric artery aneurysm, Lung cancer, Pulmonary lobectomy",

author = "Fu, {J. H.} and M. Zhao and Lin, {Y. R.} and Tian, {X. D.} and Wang, {L. X.}",

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T1 - Abdominal apoplexy after pulmonary lobectomy for lung cancer

AU - Fu, J. H.

AU - Zhao, M.

AU - Lin, Y. R.

AU - Tian, X. D.

AU - Wang, L. X.

N1 - Includes bibliographical references.

PY - 2018/11/19

Y1 - 2018/11/19

N2 - Background: Abdominal apoplexy is a rare clinical entity, and its clinical manifestations are diverse. Case report: A 52-year-old man developed severe right upper abdominal pain with unstable hemodynamics 24h after right upper pulmonary lobectomy for a lung carcinoma. Abdominal ultrasound and computed tomography (CT) were performed before exploratory laparotomy. Abdominal CT showed a ruptured right gastric artery aneurysm, which was confirmed by exploratory laparotomy. Three liters of blood was drained from the abdominal and pelvic cavity, and the offending artery was ligated. The patient had a full recovery. Conclusions: Abdominal apoplexy may present with non-specific symptoms. Abdominal ultrasound and CT scan are the diagnostic tests of choice. Laparotomy should be performed in a timely manner when the diagnosis is suspected.

AB - Background: Abdominal apoplexy is a rare clinical entity, and its clinical manifestations are diverse. Case report: A 52-year-old man developed severe right upper abdominal pain with unstable hemodynamics 24h after right upper pulmonary lobectomy for a lung carcinoma. Abdominal ultrasound and computed tomography (CT) were performed before exploratory laparotomy. Abdominal CT showed a ruptured right gastric artery aneurysm, which was confirmed by exploratory laparotomy. Three liters of blood was drained from the abdominal and pelvic cavity, and the offending artery was ligated. The patient had a full recovery. Conclusions: Abdominal apoplexy may present with non-specific symptoms. Abdominal ultrasound and CT scan are the diagnostic tests of choice. Laparotomy should be performed in a timely manner when the diagnosis is suspected.

KW - Abdominal apoplexy

KW - Bleeding

KW - Gastric artery aneurysm

KW - Lung cancer

KW - Pulmonary lobectomy

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Abdominal apoplexy after pulmonary lobectomy for lung cancer

Abstract

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