AI Article Synopsis
- Abdominal apoplexy, first described by Barber in 1909, is rare but can have a high mortality rate if not treated.
- A case is reported involving a male patient with liver cirrhosis who experienced severe abdominal pain due to a spontaneous rupture of the gastric artery.
- Despite interventions like celiac angiogram and exploratory laparotomy, the patient's condition worsened and he died two days after admission, emphasizing the need for quick diagnosis and volume restoration in similar situations.
Article Abstract
Abdominal apoplexy was reported by Barber in 1909, and the occurrence rate of the apoplexy is known to be quite rare, but the mortality is high if untreated. We report an unusual case of abdominal apoplexy due to spontaneous rupture of gastric artery. A male patient in his fifth decade with recently diagnosed liver cirrhosis history arrived to the emergency department with severe abdominal pain, which led to abdominal computer tomography indicating spontaneous rupture of gastric artery. Celiac angiogram and embolization were conducted, and exploratory laparotomy was followed. The outcome of the patient was poor, and he died on the second day of admission. As in our case, the mortality can be high, so prompt restoration of circulation volume and early diagnosis should be made in similar cases.
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| http://dx.doi.org/10.1016/j.ajem.2013.11.026 | DOI Listing |
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