Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report
Mesenteric laceration is an uncommon cause of hemoperitoneum, with nonspecific signs and symptoms and frequently is camouflaged by the signs of other traumatic lesions. There is a high risk to go unnoticed increasing morbidity and mortality.We report a case of a 43-year-old man, who was involved in...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-04-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644021000297 |
| _version_ | 1830372629213609984 |
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| author | Marta M. Ferreira Narcisa Guimarães Inês Bolais Mónica Simone Oliveira Daniela Pais Sara Andrade Alice Fonseca Ana Couceiro Isabel Borges José Valente Cecílio |
| author_facet | Marta M. Ferreira Narcisa Guimarães Inês Bolais Mónica Simone Oliveira Daniela Pais Sara Andrade Alice Fonseca Ana Couceiro Isabel Borges José Valente Cecílio |
| author_sort | Marta M. Ferreira |
| collection | DOAJ |
| description | Mesenteric laceration is an uncommon cause of hemoperitoneum, with nonspecific signs and symptoms and frequently is camouflaged by the signs of other traumatic lesions. There is a high risk to go unnoticed increasing morbidity and mortality.We report a case of a 43-year-old man, who was involved in a motorcycle accident, with thoraco-abdomino-pelvic trauma, but without evidence of intra-abdominal lesions on exams, with exception of hemoperitoneum. Due to hemodynamic instability, it was performed an exploratory laparotomy. Intraoperative findings were mesenteric lacerations affecting a small bowel segment.This case demonstrates that a high index of suspicion is necessary to diagnose and treat lesions like mesenteric laceration, not visible early on imaging but potentially fatal, with high risk of complications. |
| first_indexed | 2024-12-20T07:05:45Z |
| format | Article |
| id | doaj.art-648f94e126594c9f85c5fc13bc8a0ae6 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-20T07:05:45Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-648f94e126594c9f85c5fc13bc8a0ae62022-12-21T19:49:03ZengElsevierTrauma Case Reports2352-64402021-04-0132100424Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case reportMarta M. Ferreira0Narcisa Guimarães1Inês Bolais Mónica2Simone Oliveira3Daniela Pais4Sara Andrade5Alice Fonseca6Ana Couceiro7Isabel Borges8José Valente Cecílio9Corresponding author.; District Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalDistrict Hospital of Figueira da Foz, Figueira da Foz, PortugalMesenteric laceration is an uncommon cause of hemoperitoneum, with nonspecific signs and symptoms and frequently is camouflaged by the signs of other traumatic lesions. There is a high risk to go unnoticed increasing morbidity and mortality.We report a case of a 43-year-old man, who was involved in a motorcycle accident, with thoraco-abdomino-pelvic trauma, but without evidence of intra-abdominal lesions on exams, with exception of hemoperitoneum. Due to hemodynamic instability, it was performed an exploratory laparotomy. Intraoperative findings were mesenteric lacerations affecting a small bowel segment.This case demonstrates that a high index of suspicion is necessary to diagnose and treat lesions like mesenteric laceration, not visible early on imaging but potentially fatal, with high risk of complications.http://www.sciencedirect.com/science/article/pii/S2352644021000297Mesenteric lacerationBlunt traumaHemoperitoneum |
| spellingShingle | Marta M. Ferreira Narcisa Guimarães Inês Bolais Mónica Simone Oliveira Daniela Pais Sara Andrade Alice Fonseca Ana Couceiro Isabel Borges José Valente Cecílio Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report Trauma Case Reports Mesenteric laceration Blunt trauma Hemoperitoneum |
| title | Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report |
| title_full | Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report |
| title_fullStr | Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report |
| title_full_unstemmed | Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report |
| title_short | Hemoperitoneum secondary to mesenteric laceration after abdominal trauma - Case report |
| title_sort | hemoperitoneum secondary to mesenteric laceration after abdominal trauma case report |
| topic | Mesenteric laceration Blunt trauma Hemoperitoneum |
| url | http://www.sciencedirect.com/science/article/pii/S2352644021000297 |
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