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A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma
A 65-year-old male was brought to our hospital with right upper abdominal fullness sensation and recent body weight loss of about 3 kg. The patient had developed episodes of melena following progressive abdominal muscular guarding and drop of haemoglobin level to 6.3 g/dL. An abdominal computed tomo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554390/ https://www.ncbi.nlm.nih.gov/pubmed/26163669 http://dx.doi.org/10.1093/gastro/gov030 |
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author | Liao, Chen-Yi Kuo, Wu-Hsien Huang, En-Hua Hsieh, An-Tie Le, Ching-Chang Tsai, Chi-Chang Hsueh, Chao-Wen |
author_facet | Liao, Chen-Yi Kuo, Wu-Hsien Huang, En-Hua Hsieh, An-Tie Le, Ching-Chang Tsai, Chi-Chang Hsueh, Chao-Wen |
author_sort | Liao, Chen-Yi |
collection | PubMed |
description | A 65-year-old male was brought to our hospital with right upper abdominal fullness sensation and recent body weight loss of about 3 kg. The patient had developed episodes of melena following progressive abdominal muscular guarding and drop of haemoglobin level to 6.3 g/dL. An abdominal computed tomography scan disclosed a ruptured hepatocellular cell carcinoma. A segmental arterial mediolysis was found on the superior mesenteric artery in the process of repairing the ruptured right hepatic artery with the assistance of angiography. Transarterial embolization was carried out and permanent haemostasis was achieved. |
format | Online Article Text |
id | pubmed-5554390 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-55543902017-08-29 A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma Liao, Chen-Yi Kuo, Wu-Hsien Huang, En-Hua Hsieh, An-Tie Le, Ching-Chang Tsai, Chi-Chang Hsueh, Chao-Wen Gastroenterol Rep (Oxf) Case Reports A 65-year-old male was brought to our hospital with right upper abdominal fullness sensation and recent body weight loss of about 3 kg. The patient had developed episodes of melena following progressive abdominal muscular guarding and drop of haemoglobin level to 6.3 g/dL. An abdominal computed tomography scan disclosed a ruptured hepatocellular cell carcinoma. A segmental arterial mediolysis was found on the superior mesenteric artery in the process of repairing the ruptured right hepatic artery with the assistance of angiography. Transarterial embolization was carried out and permanent haemostasis was achieved. Oxford University Press 2017-08 2015-07-10 /pmc/articles/PMC5554390/ /pubmed/26163669 http://dx.doi.org/10.1093/gastro/gov030 Text en © The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Liao, Chen-Yi Kuo, Wu-Hsien Huang, En-Hua Hsieh, An-Tie Le, Ching-Chang Tsai, Chi-Chang Hsueh, Chao-Wen A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
title | A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
title_full | A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
title_fullStr | A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
title_full_unstemmed | A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
title_short | A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
title_sort | diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554390/ https://www.ncbi.nlm.nih.gov/pubmed/26163669 http://dx.doi.org/10.1093/gastro/gov030 |
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