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World Journal of Emergency Surgery, 2014
We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhag... more We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed extensive intraperitoneal and retroperitoneal hemorrhage resulting from the rupture of a large adrenal tumor. The diagnosis of pheochromocytoma was confirmed by histological findings. The patient died a few hours after surgery from multiorgan failure despite resuscitation attempts. This report discusses the diagnosis difficulties, treatment approach, and relevant literature.
Intussusception is a rare condition in adults and can have various causes, including cancer. A ma... more Intussusception is a rare condition in adults and can have various causes, including cancer. A man aged 35 presented to the emergency department with abdominal pain, abdominal distension, and rectal bleeding. A CT scan revealed that a lipoma in the recto-sigmoid region had caused the intussusception, resulting in a mechanical obstruction. To treat this, the intussusception was reduced, and part of the sigmoid was removed with an end colostomy. It is essential to consider the possibility of malignancy when managing adult intussusception as reducing a malignant segment may cause dissemination. While intussusception caused by non-malignant lesions such as lipomas is known to occur, it is more common in the right and transverse colons.
World Journal of Emergency Surgery, 2014
We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhag... more We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed extensive intraperitoneal and retroperitoneal hemorrhage resulting from the rupture of a large adrenal tumor. The diagnosis of pheochromocytoma was confirmed by histological findings. The patient died a few hours after surgery from multiorgan failure despite resuscitation attempts. This report discusses the diagnosis difficulties, treatment approach, and relevant literature.
Intussusception is a rare condition in adults and can have various causes, including cancer. A ma... more Intussusception is a rare condition in adults and can have various causes, including cancer. A man aged 35 presented to the emergency department with abdominal pain, abdominal distension, and rectal bleeding. A CT scan revealed that a lipoma in the recto-sigmoid region had caused the intussusception, resulting in a mechanical obstruction. To treat this, the intussusception was reduced, and part of the sigmoid was removed with an end colostomy. It is essential to consider the possibility of malignancy when managing adult intussusception as reducing a malignant segment may cause dissemination. While intussusception caused by non-malignant lesions such as lipomas is known to occur, it is more common in the right and transverse colons.