Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report
Introduction: In reporting this case of a patient with spontaneous iliac vein rupture, we highlight the importance of maintaining a high clinical suspicion of this vascular emergency in the at-risk patient. Case Report: A 50-year-old female with an uncommon language barrier presented with left lower...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2023-02-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/83j701mc |
| _version_ | 1811162030964473856 |
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| author | Obianuju Eziolisa Jennifer Chapman |
| author_facet | Obianuju Eziolisa Jennifer Chapman |
| author_sort | Obianuju Eziolisa |
| collection | DOAJ |
| description | Introduction: In reporting this case of a patient with spontaneous iliac vein rupture, we highlight the importance of maintaining a high clinical suspicion of this vascular emergency in the at-risk patient. Case Report: A 50-year-old female with an uncommon language barrier presented with left lower abdominal pain after falling. Initial imaging showed pelvic hematoma of unclear etiology. Repeat computed tomography showed expanding hematoma, and after hemodynamic decompensation, exploratory laparotomy revealed a ruptured iliac vein. Conclusion: Although rare, spontaneous iliac vein rupture has a high mortality rate, even when identified early. This case serves as a reminder to consider this potentially fatal diagnosis in the at-risk group and highlights the need to remain vigilant in patients who present with unexplained shock. Additionally, this case is a reminder of our duty to provide emergency care that transcends language barriers. |
| first_indexed | 2024-04-10T06:23:05Z |
| format | Article |
| id | doaj.art-b4431aa8c8e84b749761388134587e95 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-04-10T06:23:05Z |
| publishDate | 2023-02-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-b4431aa8c8e84b749761388134587e952023-03-02T02:16:42ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2023-02-017110.5811/cpcem.2022.10.57205cpcem-07-016Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case ReportObianuju EziolisaJennifer ChapmanIntroduction: In reporting this case of a patient with spontaneous iliac vein rupture, we highlight the importance of maintaining a high clinical suspicion of this vascular emergency in the at-risk patient. Case Report: A 50-year-old female with an uncommon language barrier presented with left lower abdominal pain after falling. Initial imaging showed pelvic hematoma of unclear etiology. Repeat computed tomography showed expanding hematoma, and after hemodynamic decompensation, exploratory laparotomy revealed a ruptured iliac vein. Conclusion: Although rare, spontaneous iliac vein rupture has a high mortality rate, even when identified early. This case serves as a reminder to consider this potentially fatal diagnosis in the at-risk group and highlights the need to remain vigilant in patients who present with unexplained shock. Additionally, this case is a reminder of our duty to provide emergency care that transcends language barriers.https://escholarship.org/uc/item/83j701mc |
| spellingShingle | Obianuju Eziolisa Jennifer Chapman Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report |
| title_full | Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report |
| title_fullStr | Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report |
| title_full_unstemmed | Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report |
| title_short | Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report |
| title_sort | mysterious pelvic hematoma in a patient who speaks a rare ethiopian dialect a case report |
| url | https://escholarship.org/uc/item/83j701mc |
| work_keys_str_mv | AT obianujueziolisa mysteriouspelvichematomainapatientwhospeaksarareethiopiandialectacasereport AT jenniferchapman mysteriouspelvichematomainapatientwhospeaksarareethiopiandialectacasereport |