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Article Synopsis
  • Syncope, a common issue in emergency medicine, can sometimes be linked to rare causes like ruptured liver hemangiomas, as seen in an 81-year-old man who experienced this after three syncopal episodes while on anticoagulation.
  • The patient's symptoms included nausea, vomiting, and abdominal pain, leading to a diagnosis of a ruptured hepatic hemangioma confirmed through imaging, which revealed free fluid in the abdomen and ongoing hemorrhage.
  • Treatment involved administering blood products and fluids, followed by emergency endovascular embolization, ultimately allowing for recovery and discharge after 10 days of hospitalization, highlighting the need for sonographic assessments in similar cases.
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