scholarly journals Incidence of Spontaneous Pulmonary AVM Rupture in HHT Patients

2021 ◽  
Vol 10 (20) ◽  
pp. 4714
Author(s):  
Adam Fish ◽  
Katharine Henderson ◽  
Alex Moushey ◽  
Jeffrey Pollak ◽  
Todd Schlachter
Keyword(s):  
Spontaneous Rupture ◽  
Pulmonary Hemorrhage ◽  
Initial Presentation ◽  
Lifetime Prevalence ◽  
True Incidence ◽  
Life Threatening ◽  
Life Threatening Complication

The spontaneous rupture of pulmonary AVMs, resulting in pulmonary hemorrhage and hydrothorax, is a life-threatening complication. While this phenomenon has been previously reported, the true incidence is not yet known. This study retrospectively reviewed records of 801 HHT patients with pulmonary AVMs to identify a single lifetime episode of hemothorax or pulmonary hemorrhage secondary to pulmonary AVM rupture. The lifetime prevalence and incidence of pulmonary AVM rupture in HHT patients was 2.7% and 0.16% respectively. In these patients, AVM rupture represented the initial presentation of HHT in nine (40.9%) cases and was life-threatening in nine (40.9%) cases. All cases occurred in virgin lesions, and subsequent embolization was curative. While a feared complication, pulmonary AVM rupture is rare and is likely effectively prevented by existing embolization techniques and indications.

scholarly journals Spontaneous rupture of the pancreatic pseudocyst into the duodenum with massive upper gastrointestinal bleeding: case report and literature review

2020 ◽  
Vol 7 (11) ◽  
pp. 3792
Author(s):  
Alaa Sedik ◽  
Meriem Touheria ◽  
Ahmed Fathi ◽  
Uzair Ilyas ◽  
Ahmed Wahdan ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Pancreatic Pseudocyst ◽  
Bile Leak ◽  
Recurrent Bleeding ◽  
Upper Gi ◽  
Life Threatening ◽  
Upper Gi Endoscopy ◽  
The Common ◽  
Life Threatening Complication ◽  
Acute And Chronic Pancreatitis

Pancreatic pseudocyst is one of the common complications of both acute and chronic pancreatitis. While most pseudocysts resolve spontaneously with conservative treatment, larger pseudocysts are more likely to cause complications, such as, spontaneous rupture into the gastrointestinal tract and are usually associated with life-threatening bleeding, which is life threatening complication. Endoscopic or surgical drainage may be necessary for uncomplicated persistent large cysts. We present a case of 32 year old Indian male, admitted to our department, who was a known case of alcoholic acute pancreatitis treated conservatively and developed massive upper GI bleeding and shock. CT angiography and upper GI endoscopy failed so he was taken to theatre several time due to bleeding, recurrent bleeding and a major bile leak. Unfortunately, he was expired. Current study highlights this serious rare life-threatening complication.

scholarly journals Spontaneous liver haemorrhage and haemobilia as initial presentation of undiagnosed polyarteritis nodosa

2012 ◽  
Vol 94 (4) ◽  
pp. e163-e165 ◽  
Author(s):  
N Battula ◽  
D Tsapralis ◽  
M Morgan ◽  
D Mirza
Keyword(s):  
Clinical Outcomes ◽  
Polyarteritis Nodosa ◽  
Multidisciplinary Team ◽  
Spontaneous Rupture ◽  
Immunosuppressive Treatment ◽  
Accurate Diagnosis ◽  
Initial Presentation ◽  
Multiple Aneurysms ◽  
Visceral Arteries ◽  
Life Threatening

Polyarteritis nodosa (PAN) is a systemic necrotising vasculitis that could result in multifocal aneurysms of visceral arteries. Isolated multiple aneurysms of the hepatic arteries in the setting of PAN is extremely rare. Patients are typically asymptomatic and, very rarely, spontaneous rupture with life threatening haemorrhage could be the initial presentation of an undiagnosed PAN. Accurate diagnosis, effective haemostasis and prompt initiation of immunosuppressive treatment with the help of a multidisciplinary team will improve the clinical outcomes.

scholarly journals Haemoperitoneum Due to Spontaneous Rupture of a Liver Metastasis

2019 ◽  
Author(s):  
Christodoulos Dolapsakis ◽  
Polina Pavli ◽  
Andreas Panagopoulos ◽  
Ekaterini Tavernaraki ◽  
Georgios Varnavas ◽  
...  
Keyword(s):  
Liver Disease ◽  
Liver Metastasis ◽  
Spontaneous Rupture ◽  
Transarterial Embolization ◽  
Performance Status ◽  
Unknown Origin ◽  
Therapeutic Decisions ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Metastatic Liver

Spontaneous rupture of a liver metastasis is a life-threatening complication of metastatic liver disease. Although metastatic liver lesions are much more common than primary tumours, spontaneous rupture of a liver metastasis is rare. Therapeutic decisions must take into account the extent of metastatic liver disease and the patient’s performance status. Transarterial embolization may be considered in cases of ongoing haemorrhage despite initial conservative measures. We describe a case of haemoperitoneum due to spontaneous rupture of a liver metastasis in a 72-year-old patient with carcinoma of unknown origin who responded well to conservative management.

scholarly journals Spontaneous Rupture of the Spleen Associated withLegionellaPneumonia

2010 ◽  
Vol 21 (3) ◽  
pp. e107-e108 ◽  
Author(s):  
Manuel Casanova-Roman ◽  
Javier Casas ◽  
Antonio Sanchez-Porto ◽  
Belen Nacle
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rupture Of The Spleen

Spontaneous rupture of the spleen associated withLegionellapneumonia is a rare and life-threatening complication; only three cases have been reported to date. The authors describe a case of a 47-year-old man who presented with pneumonia and abdominal pain. He underwent a splenectomy, and was successfully treated with clarithromycin and levofloxacin.

scholarly journals Spontaneous rupture of incisional hernia: a rare cause of a life-threatening complication

2011 ◽  
Vol 2011 (mar02 1) ◽  
pp. bcr1120103486-bcr1120103486 ◽  
Author(s):  
R. K. Gupta ◽  
S. S ◽  
A. S C
Keyword(s):  
Incisional Hernia ◽  
Spontaneous Rupture ◽  
Life Threatening ◽  
Life Threatening Complication

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

scholarly journals 187 Improving Awareness of Managing Post-Operative Haemorrhage in Patients Undergoing Thyroid and Parathyroid Surgery: The SCOOP Protocol

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Bhattacharya ◽  
J Jegadeeson ◽  
J Ramsingh ◽  
P Truran
Keyword(s):  
Nursing Staff ◽  
Simulation Training ◽  
Clinical Signs ◽  
Skin Wound ◽  
Junior Doctors ◽  
Parathyroid Surgery ◽  
Surgical Department ◽  
Life Threatening ◽  
Clinical Questions ◽  
Life Threatening Complication

Abstract Introduction Post-operative haemorrhage is a rare but potentially life-threatening complication of thyroid surgery and occurs in 1 in 100 patients. Our aim was to assess current levels of awareness of post-operative haemorrhage in the surgical department and to improve confidence in managing this. Method Questionnaires with a combination of clinical questions were distributed amongst nurses, foundation doctors, senior house officers and registrars in the surgical department. Results There was a clear gap in awareness in all grades. The British Association of Endocrine and Thyroid surgeons (BAETS) have guidance on the management of these patients and in particular the acronym SCOOP (Steristrips removed, Cut subcuticular sutures, Open skin wound, Open strap muscles, Pack wound). 18/24 of participants had not heard of the SCOOP protocol. Most nurses (6/12) all junior doctors (8/8) showed lack of confidence in managing patients with suspected bleeding. Conclusions An informative poster was created for relevant clinical areas as per the BAETS recommendation. These posters outlined the steps in the SCOOP acronymas well as the main clinical signs of haemorrhage. BAETS recommend that all first responders, including nursing staff, junior doctors and the crash team should be aware of the SCOOP protocol. Simulation training sessions are in progress for these members of staff.

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