Short Gastric Artery Apoplexy after Gagging

Jabr , Fadi I.; Skeik , Nedaa

Article Details

Short Gastric Artery Apoplexy after Gagging

Authors:

Jabr , Fadi I. | Skeik , Nedaa

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2012 vol.60 Issue 3, pp.173-175

Document Type:

Article

Publication Date:

1/2012

Document Language:

English

Document ID (Org No.):

20063

Frequency:

Quarterly

pISSN:

00239852

Descriptors:

Abstract:

 Abdominal apoplexy, the spontaneous hemorrhage into the peritoneal cavity, is usually caused by a rupture of visceral vessels such as short gastric arteries. Several factors such as pregnancy, hypertension and atherosclerosis have been described in association with abdominal apoplexy. Blunt trauma, inflammatory conditions, aneurysm rupture and rarely vomiting are some predisposing conditions. We report a very unusual case of a patient who had a spontaneous short gastric artery acute hemoperitoneum caused by forceful gagging during teeth brushing. The patient was treated with blood transfusion, fluids resuscitation, laparotomy, and suture ligation of the bleeder vessel. We also review the medical literature of abdominal apoplexy, a rare etiology of acute abdomen that should be recognized early in the Emergency Department.

 L’apoplexie spontanée abdominale est une hémorragie dans la cavité péritonéale habituellement causée par une rupture de vaisseaux viscéraux y compris les vaisseaux courts de l’estomac. Plusieurs facteurs, comme la grossesse, l’hypertension et l’athérosclérose ont été décrits en association avec l’apoplexie abdominale. Traumatismes, maladies inflammatoires, ruptures d’anévrisme et rarement des vomissements sont des facteurs prédisposants. Nous rapportons un cas très inhabituel d’hémopéritoine spontané aigu par apoplexie d’une artère gastrique courte chez un patient causée par un réflexe nauséeux exacerbé alors qu’il se brossait les dents. Le patient a été traité par une transfusion sanguine, une réanimation par perfusions, une laparotomie et une ligature du vaisseau rompu. Nous passons en revue la littérature médicale concernant l’apoplexie abdominale, une cause rare d’abdomen aigu qu’il est essentiel de diagnostiquer le plus rapidement possible aux urgences.

Article Details

Short Gastric Artery Apoplexy after Gagging

Authors:

Jabr , Fadi I. | Skeik , Nedaa

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2012 vol.60 Issue 3, pp.173-175

Document Type:

Article

Publication Date:

1/2012

Document Language:

English

Document ID (Org No.):

20063

Frequency:

Quarterly

pISSN:

00239852

Descriptors:

BLOOD PRESSURE

BLOOD TRANSFUSION

DIGESTIVE SYSTEM DISEASES

JOINT DISEASES

VASCULAR DISEASES

PERITONITIS

Issues

Article Details

Short Gastric Artery Apoplexy after Gagging

Authors: Jabr , Fadi I. | Skeik , Nedaa

Publisher: Lebanese Order of Physicians : Scientific Committee

Main Topics: Medicine

Journal: Lebanese Medical Journal 2012 vol.60 Issue 3, pp.173-175

Document Type: Article

Publication Date: 1/2012

Document Language: English

Document ID (Org No.): 20063

Frequency: Quarterly

pISSN: 00239852

Descriptors:

BLOOD PRESSURE

BLOOD TRANSFUSION

DIGESTIVE SYSTEM DISEASES

JOINT DISEASES

VASCULAR DISEASES

PERITONITIS

Issues

Authors:

Jabr , Fadi I. | Skeik , Nedaa

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2012 vol.60 Issue 3, pp.173-175

Document Type:

Article

Publication Date:

1/2012

Document Language:

English

Document ID (Org No.):

20063

Frequency:

Quarterly

pISSN:

00239852