Medical image of the week: massive spontaneous intra-abdominal bleeding

A 67 year-old female with rheumatoid arthritis, on anti-TNF and corticosteroids, was admitted to the ICU with severe shock, likely hemorrhagic. She was on coumadin for atrial fibrillation. She was found to have severe coagulopathy and diffuse spontaneous abdominal bleeding (Figure 1). She also devel...

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Bibliographic Details
Main Authors: Alzoubaidi M, Luraschi-Monjagatta C, Reddy S, McAtee R
Format: Article
Language:English
Published: Arizona Thoracic Society 2014-02-01
Series:Southwest Journal of Pulmonary and Critical Care
Subjects:
Online Access:http://www.swjpcc.com/imaging/2014/2/26/medical-image-of-the-week-massive-spontaneous-intra-abdomina.html
Description
Summary:A 67 year-old female with rheumatoid arthritis, on anti-TNF and corticosteroids, was admitted to the ICU with severe shock, likely hemorrhagic. She was on coumadin for atrial fibrillation. She was found to have severe coagulopathy and diffuse spontaneous abdominal bleeding (Figure 1). She also developed left popliteal artery thrombosis, with compartment syndrome requiring surgical intervention. Disseminated intravascular coagulation was her final diagnosis.
ISSN:2160-6773