Nonoperative management was successful in 81 of the 90 patients including two patients with penetrating injury. Nine patients were operated on after an initial period of observation, eight because of continued bleeding and one because of features of peritonitis. There were four deaths. These were due to multisystem injuries and not directly related to haemoperitoneum alone. Nonoperative management is a relatively safe and effective method in management of selected cases of haemoperitoneum.
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http://dx.doi.org/10.1016/s0020-1383(99)00079-0 | DOI Listing |
J Surg Case Rep
December 2024
Department of Surgery, Hackensack Meridian Palisades Medical Center 7600 River Road, North Bergen, NJ 07047, United States.
Isolated superior mesenteric dissection (ISMAD) is an uncommon condition, often diagnosed incidentally for presentations of acute abdominal pain. Early identification and treatment are crucial as complications such as bowel ischemia or vessel rupture can occur. There remain no established treatment guidelines, making surgical and endovascular indications controversial.
View Article and Find Full Text PDFAm J Case Rep
October 2024
Department of Propedeutics of Surgical Diseases, Section of General Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria.
BACKGROUND Extracorporeal shockwave lithotripsy (ESWL) is a common procedure, and splenic rupture is a rare complication of ESWL. Depending on the stage of injury and patient's condition, treatment options include non-operative management (NOM) and emergency splenectomy. Diagnosis is not difficult with symptoms such as deteriorating hemodynamic and hematologic indices, localized physical signs of peritoneal irritation in the left hypochondriac region, and confirmation provided by signs of free fluid (hemoperitoneum) seen on ultrasound or computed tomography (CT).
View Article and Find Full Text PDFJ Trauma Inj
December 2023
Division of Trauma Surgery, Department of Surgery, Seoul National University Hospital, Seoul, Korea.
AME Case Rep
August 2024
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Int J Surg Case Rep
October 2024
General Surgery Department, Mahmoud El Matri Hospital, V59M+628, Ariana, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia.
Introduction And Importance: Colonoscopy, while generally safe, can rarely lead to severe complications such as splenic injury. This article reports a case of splenic injury post-colonoscopy, highlighting clinical challenges, diagnostic approaches, and treatment strategies. The goal is to raise awareness among healthcare professionals and enhance knowledge on managing such complications.
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