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Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review

This article presents the case of a 58-year-old woman who presented feeling unwell with pain in the right upper abdomen for three days. She had a history of splenic infarcts, was on lifelong warfarin and had recently returned from a trip to Gambia. She was admitted to the hospital under suspicion of...

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Autores principales: Chowdary, Prashanth B, Maheshwari, Gaurav, Haynes, Maria, Amaechi, Iheoma, Dickson-Lowe, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548298/
https://www.ncbi.nlm.nih.gov/pubmed/37799213
http://dx.doi.org/10.7759/cureus.44634
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author Chowdary, Prashanth B
Maheshwari, Gaurav
Haynes, Maria
Amaechi, Iheoma
Dickson-Lowe, Richard
author_facet Chowdary, Prashanth B
Maheshwari, Gaurav
Haynes, Maria
Amaechi, Iheoma
Dickson-Lowe, Richard
author_sort Chowdary, Prashanth B
collection PubMed
description This article presents the case of a 58-year-old woman who presented feeling unwell with pain in the right upper abdomen for three days. She had a history of splenic infarcts, was on lifelong warfarin and had recently returned from a trip to Gambia. She was admitted to the hospital under suspicion of sepsis of unknown origin, and a CT scan later revealed haemoperitoneum along with a pseudoaneurysm of the right colic artery. After initially responding to resuscitation, the patient deteriorated haemodynamically, and a decision was made to perform a laparotomy, revealing a ruptured right colic artery pseudoaneurysm. In this article, the authors highlight the challenges of managing a complex unwell patient with a ruptured right colic artery pseudoaneurysm, emphasising the importance of a multi-disciplinary team approach and shared decision-making and reviewing the available literature.
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spelling pubmed-105482982023-10-05 Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review Chowdary, Prashanth B Maheshwari, Gaurav Haynes, Maria Amaechi, Iheoma Dickson-Lowe, Richard Cureus Emergency Medicine This article presents the case of a 58-year-old woman who presented feeling unwell with pain in the right upper abdomen for three days. She had a history of splenic infarcts, was on lifelong warfarin and had recently returned from a trip to Gambia. She was admitted to the hospital under suspicion of sepsis of unknown origin, and a CT scan later revealed haemoperitoneum along with a pseudoaneurysm of the right colic artery. After initially responding to resuscitation, the patient deteriorated haemodynamically, and a decision was made to perform a laparotomy, revealing a ruptured right colic artery pseudoaneurysm. In this article, the authors highlight the challenges of managing a complex unwell patient with a ruptured right colic artery pseudoaneurysm, emphasising the importance of a multi-disciplinary team approach and shared decision-making and reviewing the available literature. Cureus 2023-09-04 /pmc/articles/PMC10548298/ /pubmed/37799213 http://dx.doi.org/10.7759/cureus.44634 Text en Copyright © 2023, Chowdary et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Chowdary, Prashanth B
Maheshwari, Gaurav
Haynes, Maria
Amaechi, Iheoma
Dickson-Lowe, Richard
Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review
title Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review
title_full Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review
title_fullStr Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review
title_full_unstemmed Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review
title_short Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature Review
title_sort intraperitoneal haemorrhage secondary to rupture of right colic artery pseudoaneurysm: a case report and literature review
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548298/
https://www.ncbi.nlm.nih.gov/pubmed/37799213
http://dx.doi.org/10.7759/cureus.44634
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