Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Ruptured Inferior Pancreaticoduodenal Artery Aneurysm Caused by Segmental Arterial Mediolysis with Subsequent Abdominal Compartment Syndrome:A Case Report
Kenji MatsumotoYoshimitsu IzawaToshiaki TerauchiKenji KobayashiHiroharu Shinozaki
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2018 Volume 38 Issue 6 Pages 1075-1079

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Abstract

A 44-year-old man was brought to the emergency room with epigastric pain and dyspnea. His hemodynamic state was unstable, and an enhanced computed tomography scan showed a ruptured inferior pancreaticoduodenal artery with multiple aneurysms. A resuscitative endovascular balloon was inserted into the aorta, and angioembolization was performed. The patient became hemodynamically stable. However, the patient again became unstable after embolization, with massive abdominal distension. The patient was diagnosed as having abdominal compartment syndrome and underwent an emergency decompressive laparotomy. Non-operative management using interventional radiology techniques for hemorrhagic shock are often reported. Abdominal compartment syndrome can occur after non-operative management, which requires immediate surgical decompression.

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© 2018, Japanese Society for Abdominal Emargency Medicine
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