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Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum
Spontaneous haemoperitoneum (SH) is a rare but life-threatening condition with several well-recognized causes. SH often occurs in anticoagulated patients and requires urgent treatment to prevent mortality. SH is rarely associated with infective endocarditis (IE). To date, there are no reported cases...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894612/ https://www.ncbi.nlm.nih.gov/pubmed/36751670 http://dx.doi.org/10.1093/jscr/rjad023 |
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author | Read, Phillipa Walker, Patrick Menon, Tulsi |
author_facet | Read, Phillipa Walker, Patrick Menon, Tulsi |
author_sort | Read, Phillipa |
collection | PubMed |
description | Spontaneous haemoperitoneum (SH) is a rare but life-threatening condition with several well-recognized causes. SH often occurs in anticoagulated patients and requires urgent treatment to prevent mortality. SH is rarely associated with infective endocarditis (IE). To date, there are no reported cases of a haemorrhagic mesenteric abscess causing haemoperitoneum. We present the case of a warfarinized 30-year-old intravenous drug user with IE 2 weeks post-revision of a metallic valve who reported abdominal pain and subsequently suffered haemodynamic collapse. Abdominal computed tomography and damage-control laparotomy revealed haemoperitoneum secondary to an actively bleeding mesenteric nodule which was resected. Histopathology confirmed a haemorrhagic mesenteric abscess representing a rare sequela of IE and a novel cause of SH. Given that the incidence of IE appears to be increasing in people who inject drugs in Australia, the general surgeon should be aware of this clinical entity and the need for urgent intervention to prevent catastrophic sequelae. |
format | Online Article Text |
id | pubmed-9894612 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-98946122023-02-06 Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum Read, Phillipa Walker, Patrick Menon, Tulsi J Surg Case Rep Case Report Spontaneous haemoperitoneum (SH) is a rare but life-threatening condition with several well-recognized causes. SH often occurs in anticoagulated patients and requires urgent treatment to prevent mortality. SH is rarely associated with infective endocarditis (IE). To date, there are no reported cases of a haemorrhagic mesenteric abscess causing haemoperitoneum. We present the case of a warfarinized 30-year-old intravenous drug user with IE 2 weeks post-revision of a metallic valve who reported abdominal pain and subsequently suffered haemodynamic collapse. Abdominal computed tomography and damage-control laparotomy revealed haemoperitoneum secondary to an actively bleeding mesenteric nodule which was resected. Histopathology confirmed a haemorrhagic mesenteric abscess representing a rare sequela of IE and a novel cause of SH. Given that the incidence of IE appears to be increasing in people who inject drugs in Australia, the general surgeon should be aware of this clinical entity and the need for urgent intervention to prevent catastrophic sequelae. Oxford University Press 2023-02-02 /pmc/articles/PMC9894612/ /pubmed/36751670 http://dx.doi.org/10.1093/jscr/rjad023 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://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 Report Read, Phillipa Walker, Patrick Menon, Tulsi Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
title | Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
title_full | Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
title_fullStr | Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
title_full_unstemmed | Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
title_short | Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
title_sort | haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894612/ https://www.ncbi.nlm.nih.gov/pubmed/36751670 http://dx.doi.org/10.1093/jscr/rjad023 |
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