Abdominal apoplexy resulting in small bowel obstruction.
Abdominal apoplexy is a rare hemorrhagic condition involving the small arteries or veins within the abdominal cavity. A high degree of clinical suspicion, followed by appropriate diagnostic workup and therapeutic intervention, is critical, as nonoperative mortality approaches 100%. Contrary to most previously reported cases, which were associated with hemoperitoneum, we present a patient in which gastroduodenal artery dissection resulted in an organized retroperitoneal hematoma with local compression of the duodenum and subsequent bowel obstruction, resulting in vomiting, aspiration, and death.
Department of Internal Medicine (Smith, Casanova), Department of Pathology (Le, Guileyardo), and Division of Palliative Care (Casanova), Baylor University Medical Center at Dallas, Texas.
Avery
A
Smith
Department of Internal Medicine (Smith, Casanova), Department of Pathology (Le, Guileyardo), and Division of Palliative Care (Casanova), Baylor University Medical Center at Dallas, Texas.
Don
D
Le
Department of Internal Medicine (Smith, Casanova), Department of Pathology (Le, Guileyardo), and Division of Palliative Care (Casanova), Baylor University Medical Center at Dallas, Texas.
Joseph
J
Guileyardo
Department of Internal Medicine (Smith, Casanova), Department of Pathology (Le, Guileyardo), and Division of Palliative Care (Casanova), Baylor University Medical Center at Dallas, Texas.
Mark
M
Casanova
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