1/55. Soleus rupture: a differential diagnosis of calf thrombosis.Soleus rupture may present with clinical features similar to those of calf thrombosis. It is postulated that the signs are the result of compression of the posterior tibial vein as it passes through the narrow space adjacent to the fibrous origin of soleus. A distinctive venographic sign of compression of the posterior tibial vein by a soft tissue mass at the level of the origin of the soleus is described.- - - - - - - - - - ranking = 1keywords = rupture (Clic here for more details about this article) |
2/55. hemoperitoneum following rupture of ectopic varix along splenorenal ligament in extrahepatic portal vein obstruction.A 29-year-old man with extrahepatic portal vein obstruction who underwent variceal eradication by sclerotherapy six years ago, was admitted with hypotension and abdominal pain. Abdominal paracentesis yielded frank blood. laparotomy showed bleeding from a large ectopic vessel along the splenorenal ligament. The vessel was ligated and the patient recovered.- - - - - - - - - - ranking = 0.8keywords = rupture (Clic here for more details about this article) |
3/55. Spontaneous cerebral haemorrhage without hypertension in non-mosaic 45X Turner's syndrome.Cerebral haemorrhage without hypertension, arteriosclerosis or clotting defect has not been reported in patients with Turner's syndrome before. In a 51 year old female patient with non-mosaic Turner's syndrome, acute aphasia and right-sided hemiplegia occurred, due to left-sided basal ganglia haemorrhage. The history for hypertension was negative, blood pressure was normal throughout hospitalisation as well as during 24 h monitoring, and all tests for secondary hypertension were negative. There was no indication of arteriosclerosis or a clotting defect. Since there were hypermobile joints, hyperextensible skin and ectatic ascending aorta and brachiocephalic trunk on angiography, a general connective tissue defect was assumed, making arteries more vulnerable to physiologically increased blood pressure and rupture of intracerebral arteries with consecutive bleeding.- - - - - - - - - - ranking = 0.2keywords = rupture (Clic here for more details about this article) |
4/55. Emergency stent-graft repair of a ruptured hepatic artery secondary to local postoperative peritonitis.PURPOSE: To describe the use of a stent-graft for emergent repair of life-threatening hepatic artery hemorrhage. methods AND RESULTS: A 57-year-old man with a 17-year history of myxoid liposarcoma underwent surgery for a recurrent abdominal mass. Multivisceral resection including a Kausch-Whipple procedure with an extended right hemicolectomy was performed. Three weeks later, an episode of gastrointestinal bleeding prompted surgical repair of the hepatic artery, which had been eroded by infection due to a leaking bilioenteric anastomosis. After 3 weeks of programmed abdominal lavage, bleeding recurred. angiography documented another rupture of the proximal hepatic artery. After an unsuccessful attempt at coil embolization, a Hemobahn stent-graft was implanted percutaneously during simultaneous cardiopulmonary resuscitation. hemostasis was secured, and the patient recovered. Over the 10-month follow-up, no bleeding or infection has been observed at the site of the repair, and flow through the hepatic artery endograft remains satisfactory. CONCLUSIONS: Percutaneous stent-graft placement can be employed for emergent treatment of visceral artery rupture in patients at high risk for conventional surgical repair.- - - - - - - - - - ranking = 1.2keywords = rupture (Clic here for more details about this article) |
5/55. Intraoesophageal rupture of a thoracic aortic aneurysm.The intraoesophageal rupture of a large thoracic aortic aneurysm is reported in a 49 year old man. He had been hypertensive for some years while the aneurysm increased in size. Although a graft was successfully inserted to repair the leak, infection from the oesophagus with candida albicans, subsequently led to secondary haemorrhage and death 17 days later. A plea is made for the earlier referral of patients with aneurysm prior to rupture, as the operative mortality rises markedly after rupture has occurred and in this case the situation was virtually irreparable.- - - - - - - - - - ranking = 1.4keywords = rupture (Clic here for more details about this article) |
6/55. Spontaneous rupture of the left common iliac vein.We report a case of spontaneous rupture of the left common iliac vein in a 58-year-old woman. Because of hemorrhagic shock, the intervention had to be performed under emergency circumstances, precluding repair of the external iliac vein, which was ligated. The postoperative course was uneventful. We also review the 17 prior cases found in the literature.- - - - - - - - - - ranking = 1keywords = rupture (Clic here for more details about this article) |
7/55. Spontaneous rupture of a utero-ovarian vein during pregnancy.Atraumatic rupture of a utero-ovarian vein during pregnancy is a potentially lethal complication that is likely to be misdiagnosed because of its rarity. We report the case of a 31-year-old woman at 25 weeks' gestation who had an acute abdomen and shock.- - - - - - - - - - ranking = 1keywords = rupture (Clic here for more details about this article) |
8/55. Coil embolization treatment in pulmonary artery branch rupture during Swan-Ganz catheterization.rupture of the pulmonary artery or one of its branches during Swan-Ganz catheterization is a complication that is rare but remains fatal in almost 50% of cases. The risk factors and mechanisms involved in the pathogenesis of this accident have been widely reported. Management is twofold: resuscitation procedures and specific medical or even surgical treatment. We report a case of pulmonary artery rupture occurring during Swan-Ganz catheterization that was treated by coil embolization. This technique, which is quick and simple to use, would appear to be very promising. This is the first case of successful emergency treatment of pulmonary artery rupture using an endovascular technique.- - - - - - - - - - ranking = 1.2keywords = rupture (Clic here for more details about this article) |
9/55. Spontaneous common iliac arteries rupture in ehlers-danlos syndrome type IV: report of two cases and review of the literature.Two patients with previously undiagnosed ehlers-danlos syndrome type IV (EDS IV) presented acutely with clinical features suggestive of hypovolemic shock. Emergency laparotomies in both of them revealed spontaneous rupture of the common iliac arteries. The clinical features, operative findings, surgical approach, outcome and implications are discussed.- - - - - - - - - - ranking = 1keywords = rupture (Clic here for more details about this article) |
10/55. pulmonary artery dissection in patients without underlying pulmonary hypertension.AIMS: pulmonary artery (PA) dissection is a rare event which usually occurs in patients with underlying pulmonary hypertension. We describe two patients who developed PA dissection without pre-existing pulmonary hypertension and present an extensive review of the literature. methods AND RESULTS: In the first patient (a 59-year-old woman), acute-onset dyspnoea was initially thought to have been caused by pulmonary thrombosis, and thromboendarterectomy was performed. Histologically, pulmonary dissection without external rupture was evident, chiefly in the right main PA. In the second patient, an 85-year-old man who had hypergammaglobulinaemia of unknown cause and died from a haemorrhagic gastric ulcer, arterial dissection was detected at autopsy. There was no underlying pulmonary hypertension in either patient. Although the true reason for the development of dissection is unclear, pre-existing inflammation was considered to be related to its formation, at least in the second case. CONCLUSIONS: A literature review indicated that idiopathic and inflammation-related PA dissection is extremely unusual. Since PA dissection is very rare, it is important to be aware of its features in order to make a correct diagnosis.- - - - - - - - - - ranking = 0.2keywords = rupture (Clic here for more details about this article) |
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