Spontaneous intraperitoneal haemorrhage of the gastric vessels.
Benjamin A WagnerDwight D HarrisMatthew R ShalvoyJulie C BulmanPublished in: BMJ case reports (2022)
A male in his 70s presented to the emergency department with sudden-onset abdominal pain and syncope. While in the emergency department, he developed worsening hypotension and anaemia. A CT angiogram was suggestive of abdominal apoplexy (spontaneous intraperitoneal haemorrhage), which was treated successfully with embolisation of the bleeding vessels. Spontaneous bleeding was thought to be related to his initiation of apixaban 1 week previously. The patient made an excellent recovery and was transitioned back to oral anticoagulation.
Keyphrases
- emergency department
- atrial fibrillation
- abdominal pain
- venous thromboembolism
- computed tomography
- pulmonary embolism
- case report
- magnetic resonance imaging
- contrast enhanced
- clinical trial
- randomized controlled trial
- positron emission tomography
- dual energy
- newly diagnosed
- iron deficiency
- study protocol
- drug induced