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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...

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Autores principales: Liao, Chen-Yi, Kuo, Wu-Hsien, Huang, En-Hua, Hsieh, An-Tie, Le, Ching-Chang, Tsai, Chi-Chang, Hsueh, Chao-Wen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
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.
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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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