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.
| Language | English |
|---|---|
| Journal | West Indian Medical Journal |
| Volume | 67 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 01 Jan 2018 |
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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 journal › Article
TY - JOUR
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.
PY - 2018/1/1
Y1 - 2018/1/1
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
UR - http://www.scopus.com/inward/record.url?scp=85056076555&partnerID=8YFLogxK
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U2 - 10.7727/wimj.2015.064
DO - 10.7727/wimj.2015.064
M3 - Article
VL - 67
JO - West Indian Medical Journal
T2 - West Indian Medical Journal
JF - West Indian Medical Journal
SN - 0043-3144
IS - 3
ER -