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Laparoscopic Management of Abdominal Apoplexy
Abdominal apoplexy, otherwise known as intraperitoneal idiopathic spontaneous haemorrhage, is a rare condition that presents as a diagnostic dilemma and is associated with high mortality. Symptoms and signs typically are similar to other conditions presenting with upper abdominal peritonitis. Intraa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538404/ https://www.ncbi.nlm.nih.gov/pubmed/31183303 http://dx.doi.org/10.7759/cureus.4324 |
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author | Hwang, Yang Gartrell, Richard Winter, Nicole Sethi, Harsheet Won, Chung Kwun |
author_facet | Hwang, Yang Gartrell, Richard Winter, Nicole Sethi, Harsheet Won, Chung Kwun |
author_sort | Hwang, Yang |
collection | PubMed |
description | Abdominal apoplexy, otherwise known as intraperitoneal idiopathic spontaneous haemorrhage, is a rare condition that presents as a diagnostic dilemma and is associated with high mortality. Symptoms and signs typically are similar to other conditions presenting with upper abdominal peritonitis. Intraabdominal haemorrhage can occur from many different causes, including trauma, iatrogenic, ruptured aneurysm, gynaecological conditions, malignancy, and inflammatory or autoimmune processes. Spontaneous or idiopathic causes are much rarer. Prompt diagnosis and ligation of the bleeding vessel usually result in a good outcome. Most cases described involve males in the fifth and sixth decade of life who present in the setting of hypertension and known atherosclerotic disease and are managed with laparotomy or are diagnosed at autopsy. We present a case of abdominal apoplexy managed laparoscopically in a healthy 20-year-old male with no pre-existing medical conditions. This case highlights the importance to consider abdominal apoplexy in any demographic. |
format | Online Article Text |
id | pubmed-6538404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-65384042019-06-10 Laparoscopic Management of Abdominal Apoplexy Hwang, Yang Gartrell, Richard Winter, Nicole Sethi, Harsheet Won, Chung Kwun Cureus General Surgery Abdominal apoplexy, otherwise known as intraperitoneal idiopathic spontaneous haemorrhage, is a rare condition that presents as a diagnostic dilemma and is associated with high mortality. Symptoms and signs typically are similar to other conditions presenting with upper abdominal peritonitis. Intraabdominal haemorrhage can occur from many different causes, including trauma, iatrogenic, ruptured aneurysm, gynaecological conditions, malignancy, and inflammatory or autoimmune processes. Spontaneous or idiopathic causes are much rarer. Prompt diagnosis and ligation of the bleeding vessel usually result in a good outcome. Most cases described involve males in the fifth and sixth decade of life who present in the setting of hypertension and known atherosclerotic disease and are managed with laparotomy or are diagnosed at autopsy. We present a case of abdominal apoplexy managed laparoscopically in a healthy 20-year-old male with no pre-existing medical conditions. This case highlights the importance to consider abdominal apoplexy in any demographic. Cureus 2019-03-26 /pmc/articles/PMC6538404/ /pubmed/31183303 http://dx.doi.org/10.7759/cureus.4324 Text en Copyright © 2019, Hwang et al. http://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 | General Surgery Hwang, Yang Gartrell, Richard Winter, Nicole Sethi, Harsheet Won, Chung Kwun Laparoscopic Management of Abdominal Apoplexy |
title | Laparoscopic Management of Abdominal Apoplexy |
title_full | Laparoscopic Management of Abdominal Apoplexy |
title_fullStr | Laparoscopic Management of Abdominal Apoplexy |
title_full_unstemmed | Laparoscopic Management of Abdominal Apoplexy |
title_short | Laparoscopic Management of Abdominal Apoplexy |
title_sort | laparoscopic management of abdominal apoplexy |
topic | General Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538404/ https://www.ncbi.nlm.nih.gov/pubmed/31183303 http://dx.doi.org/10.7759/cureus.4324 |
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