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 journalArticle

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.

LanguageEnglish
JournalWest Indian Medical Journal
Volume67
Issue number3
DOIs
Publication statusPublished - 01 Jan 2018

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Laparotomy
Lung Neoplasms
Stroke
Tomography
Lung
Arteries
Abdominal Cavity
Routine Diagnostic Tests
Abdominal Pain
Aneurysm
Stomach
Hemodynamics
Carcinoma

Cite this

Fu, J. H. ; Zhao, M. ; Lin, Y. R. ; Tian, X. D. ; Wang, L. X. / Abdominal apoplexy after pulmonary lobectomy for lung cancer. In: West Indian Medical Journal. 2018 ; Vol. 67, No. 3.
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Abdominal apoplexy after pulmonary lobectomy for lung cancer. / Fu, J. H.; Zhao, M.; Lin, Y. R.; Tian, X. D.; Wang, L. X.

In: West Indian Medical Journal, Vol. 67, No. 3, 01.01.2018.

Research output: Contribution to journalArticle

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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.

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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.

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KW - Bleeding

KW - Gastric artery aneurysm

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KW - Pulmonary lobectomy

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