MASSIVE GASTROINTESTINAL HEMORRHAGE IN COMBAT CASUALTIES AND TRAUMA VICTIMS SECONDARY TO ARTERIO-VISCERAL FISTULAS
نویسنده
چکیده مقاله:
Massive upper gastrointestinal bleeding is a known complication of advanced sepsis in trauma patients and carries a grave prognosis. However, to our knowledge, an important cause of massive gastrointestinal bleeding, arterio-visceral fistula, has not been discussed in the literature. The most common cause of this unique clinical entity is penetrating high velocity abdominal injuries, although blunt trauma may also be responsible. Due to partial injury of the major intraabdominal vessels, a false aneurysm is formed. The intraabdominal false aneurysm, causing pressure necrosis in the intestinal wall, perforates into the gut with massive hemorrhage. Characteristics of this hemorrhage include its massive and bright red nature, recurrence, and curability with correct diagnosis and appropriate treatment. Our experience with sixteen cases, clinical presentation, diagnostic features and surgical treatment is discussed in this paper.
منابع مشابه
massive gastrointestinal hemorrhage in combat casualties and trauma victims secondary to arterio-visceral fistulas
massive upper gastrointestinal bleeding is a known complication of advanced sepsis in trauma patients and carries a grave prognosis. however, to our knowledge, an important cause of massive gastrointestinal bleeding, arterio-visceral fistula, has not been discussed in the literature. the most common cause of this unique clinical entity is penetrating high velocity abdominal injuries, although b...
متن کاملThe effect of recombinant activated factor VII on mortality in combat-related casualties with severe trauma and massive transfusion.
BACKGROUND The majority of patients with potentially survivable combat-related injuries die from hemorrhage. Our objective was to determine whether the use of recombinant activated factor VII (rFVIIa) decreased mortality in combat casualties with severe trauma who received massive transfusions and if its use was associated with increased severe thrombotic events. METHODS We retrospectively re...
متن کاملMassive gastrointestinal hemorrhage secondary to typhoid colitis: A case report and literature review
We present a case of massive lower gastrointestinal hemorrhage secondary to Salmonella enterica subtype Typhi (S. Typhi) colitis, in a 29 year-old female treated for S. Typhi bacteremia. One week post-treatment, she unexpectedly developed a large volume of rectal bleeding. Endoscopy showed colonic ulcers and ileitis, but no endoscopic hemostasis was required. Treatment was supportive with trans...
متن کاملCurrent management of massive hemorrhage in trauma
Hemorrhage remains a major cause of potentially preventable deaths. Trauma and massive transfusion are associated with coagulopathy secondary to tissue injury, hypoperfusion, dilution, and consumption of clotting factors and platelets. Concepts of damage control surgery have evolved prioritizing early control of the cause of bleeding by non-definitive means, while hemostatic control resuscitati...
متن کاملUpper Gastrointestinal Hemorrhage from Hepatic Artery Pseudoaneurysm Secondary to Trauma: A Case Report
Objective: We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm. Clinical Presentation and Intervention: An 11-yearold child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 ! 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiogra...
متن کاملUpper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm secondary to trauma: a case report.
OBJECTIVE We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm. CLINICAL PRESENTATION AND INTERVENTION An 11-year-old child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 × 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiogr...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ذخیره در منابع من قبلا به منابع من ذحیره شده{@ msg_add @}
عنوان ژورنال
دوره 4 شماره 3
صفحات 165- 172
تاریخ انتشار 1990-08
با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023