A Case of EGIST Originated from the Mesentery which Ruptured Spontaneously and Caused Intraabdominal Bleeding

Diagnosis of intraabdominal bleeding caused by spleen injury must be performed in the shortest possible period of time, with little risk for the patient, and with high preciseness. By its simple performance, high preciseness and little risk for the patient, DPL imposes as the predominant method in initial diagnostic of intraabdominal bleeding. Control and monitoring of lavage may duly signalize degree of bleeding. Preciseness of this diagnostic in our series ranges up to 93.3%. DPL method is especially important in a combined neurotrauma. Ultrasonography is a sovereign method in diagnostic of bleeding source as well as in monitoring of bleeding that from the very beginning does not require urgent surgical intervention. Its importance is in monitoring both intrasplenic and subcapsulary hematomas. It is not appliable in disturbed and haemodynamically unstable patients. It is in particular important in children where a maximum conservative attitude with respect to operative treatment has been assumed. CT takes the leading place with respect to preciseness of bleeding area, and the combined thoracoabdominal trauma. Preciseness of CT in our series comes up to 96.6%, but can be applied only in haemodynamically stable patients. Same as US of abdomen so the CT of abdomen represents a prominent method in monitoring of both intrasplenic and subcapsular hematomas, which do not require urgent surgical intervention.

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Reoperations for Intraabdominal Bleeding Following Deceased Donor Liver Transplantation

Polish Journal of Surgery ◽

10.1515/pjs-2016-0051 ◽

2016 ◽

Vol 88 (4) ◽

Cited By ~ 2

Author(s):

Wojciech Figiel ◽

Michał Grąt ◽

Karolina M. Wronka ◽

Waldemar Patkowski ◽

Maciej Krasnodębski ◽

...

Keyword(s):

Liver Transplantation ◽

Negative Impact ◽

Long Term Outcomes ◽

Surgical Interventions ◽

Donor Liver Transplantation ◽

Post Transplant ◽

Intraabdominal Bleeding ◽

Short And Long Term ◽

Intraabdominal Hemorrhage

AbstractIntraabdominal hemorrhage remains one of the most frequent surgical complications after liver transplantation.The aim of the study was to evaluate risk factors for intraabdominal bleeding requiring reoperation and to assess the relevance of the reoperations with respect to short- and long-term outcomes following liver transplantation.Material and methods. Data of 603 liver transplantations performed in the Department of General, Transplant and Liver Surgery in the period between January 2011 and September 2014 were analyzed retrospectively. Study end-points comprised: reoperation due to bleeding and death during the first 90 postoperative days and between 90 postoperative day and third post-transplant year.Results. Reoperations for intraabdominal bleeding were performed after 45 out of 603 (7.5%) transplantations. Low pre-transplant hemoglobin was the only independent predictor of reoperation (p=0.002) with the cut-off of 11.3 g/dl. Postoperative 90-day mortality was significantly higher in patients undergoing reoperation as compared to the remaining patients (15.6% vs 5.6%, p=0.008). Post-transplant survival from 90 days to 3 years was non-significantly lower in patients after reoperation for bleeding (83.3%) as compared to the remaining patients (92.2%, p=0.096). Nevertheless, multivariable analyses did not reveal any significant negative impact of reoperations for bleeding on short-term mortality (p=0.589) and 3-year survival (p=0.079).Conclusions. Surgical interventions due to postoperative intraabdominal hemorrhage do not appear to affect short- and long-term outcomes following liver transplantation. Preoperative hemoglobin concentration over 11.3 g/dl is associated with decreased risk of this complication, yet the clinical relevance of this phenomenon is doubtful

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Predictors of Active Extravasation and Complications after Conventional Angiography for Acute Intraabdominal Bleeding

Journal of Clinical Medicine ◽

10.3390/jcm6040047 ◽

2017 ◽

Vol 6 (4) ◽

pp. 47 ◽

Cited By ~ 3

Author(s):

Zachary Haber ◽

Hearns Charles ◽

Joseph Erinjeri ◽

Amy Deipolyi

Keyword(s):

Conventional Angiography ◽

Intraabdominal Bleeding ◽

Active Extravasation

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Massive Intraabdominal Bleeding as a Complication of Acute Cholangitis and Portal Vein Thrombosis Due to Cholecystocholedocolithiasis

Digestive Diseases and Sciences ◽

10.1007/s10620-005-2657-y ◽

2005 ◽

Vol 50 (5) ◽

pp. 876-878

Author(s):

Wael I. Al Daraji ◽

Richard J. Prescott

Keyword(s):

Portal Vein ◽

Portal Vein Thrombosis ◽

Acute Cholangitis ◽

Vein Thrombosis ◽

Intraabdominal Bleeding

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Massive Intraabdominal Bleeding Due to a Retroperitoneal Leiomyosarcoma

The Journal of Urology ◽

10.1016/s0022-5347(17)50641-2 ◽

1984 ◽

Vol 131 (4) ◽

pp. 830-830

Author(s):

M. Witz ◽

B. Shpitz ◽

A. Dinbar

Keyword(s):

Intraabdominal Bleeding

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Surgical treatment of chronic pancreatitis complicated by bleeding in cystic cavity

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2017-176-4-87-89 ◽

2017 ◽

Vol 176 (4) ◽

pp. 87-89

Author(s):

N. A. Bazhenova ◽

D. I. Vasilevskiy ◽

V. M. Sedov ◽

A. I. Fetyukov

Keyword(s):

Chronic Pancreatitis ◽

Surgical Treatment ◽

Pancreatic Cysts ◽

Lethal Outcome ◽

External Drainage ◽

Surgical Method ◽

Intraabdominal Bleeding ◽

Endovascular Occlusion ◽

Diagnostic Angiography ◽

Cystic Cavity

OBJECTIVE. The authors studied the rate of bleeding from cystic cavity of the pancreas and analyzed the completed treatment. MATERIAL AND METHODS. The article presented an experience of treatment of 155 patients with chronic cystic pancreatitis. Pseudocysts complicated by hemorrhage into their cavity in 8 patients. The signs of gastroduodenal and intraabdominal bleeding had 5 patients. RESULTS. Suturing of bleeding vessels, extirpation of the stomach, external drainage of pancreatic cysts and gastrocystoanastomosis were immediately performed in 5 patients. Diagnostic angiography was conducted in order to localize a source of bleeding with subsequent attempt of endovascular occlusion of this vessel in 3 patients. Endovascular occlusion stopped bleeding in 2 cases, though it caused a spiral migration and lethal outcome in one case. CONCLUSIONS. Bleeding from the pancreatic cysts was difficult to diagnose. This pathology left the only surgical method of saving patient in most cases.

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