Volumen: 18 # Number : 2
Publication Date : Mayo - Agosto Year: 2014
Segmental arterial medyolisis cause by peritoneal
bleeding in an anticoagulated patient
Authors: Gómez, Mariela; Cordini, Gregorio;
Juárez, María de los Angeles, Duran Paredes, Victoria
Abstract: We report a 66 years old male patient, in chronic oral anticoagulation
due to a recurring paroxysmal atrial fibrillation,
admitted for syncope associated with diffuse abdominal
pain and a 23 points fall in his hematocrit value. A computed tomographic scan detected a profuse peritoneal
bleeding. An abdominal arteriography showed a gastroepiploic
artery aneurysm wich was surgically resected. Arterial hystopathologic study revealed a segmental arterial
mediolysis (SAM).
Key words: segmental arterial mediolysis;
peritoneal bleeding;
anticoagulation.
Pages : 179-183
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