A Case of Segmental Arterial Mediolysis Presenting as Mucosal Gastric Hematoma
المؤلفون المشاركون
Sakurada, Mutsumi
Orita, Hajime
Kushida, Tomoyuki
Sakuraba, Shunsuke
Tokuda, Satoshi
Ito, Tomoaki
Ueda, Shuhei
Wada, Ryo
Maekawa, Hiroshi
Sato, Koichi
المصدر
Case Reports in Gastrointestinal Medicine
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-11-23
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Although segmental arterial mediolysis (SAM) has been increasingly recognized as arteriopathy and there are some case reports about SAM, it is still very rare.
It is characterized clinically by aneurysm, dissection, stenosis, and occlusion within splanchnic arterial branches, causing intra-abdominal hemorrhage or bowel ischemia.
Mortality is as high as 50% in acute events.
Case Presentation.
A 51-year-old man was referred to our hospital with hematemesis.
Gastroscopy revealed a submucosal-like tumor on the posterior wall of gastric angle with ulceration.
Computed tomography indicated a tumor measuring 65×50 mm in the stomach, which was suspected to have invaded into the pancreas.
Significant hematemesis recurred; the patient developed shock and underwent emergency distal gastrectomy, distal pancreatectomy, and splenectomy.
The pathology and the clinical course were compatible with SAM splenic artery rupture causing retroperitoneal hemorrhage that penetrated into the stomach.
After that surgery, aneurysm of common hepatic artery ruptured and coil embolization was performed.
Conclusion.
SAM is an important cause of intra-abdominal or retroperitoneal hemorrhage in patients without underlying disease.
SAM typically presents as intra-abdominal hemorrhage, but, in this case, the retroperitoneal hemorrhage penetrated into the stomach and it looked like a submucosal tumor.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sakuraba, Shunsuke& Orita, Hajime& Ueda, Shuhei& Tokuda, Satoshi& Ito, Tomoaki& Kushida, Tomoyuki…[et al.]. 2017. A Case of Segmental Arterial Mediolysis Presenting as Mucosal Gastric Hematoma. Case Reports in Gastrointestinal Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145502
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sakuraba, Shunsuke…[et al.]. A Case of Segmental Arterial Mediolysis Presenting as Mucosal Gastric Hematoma. Case Reports in Gastrointestinal Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145502
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sakuraba, Shunsuke& Orita, Hajime& Ueda, Shuhei& Tokuda, Satoshi& Ito, Tomoaki& Kushida, Tomoyuki…[et al.]. A Case of Segmental Arterial Mediolysis Presenting as Mucosal Gastric Hematoma. Case Reports in Gastrointestinal Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145502
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145502
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر