Shimpi Trishna R, Shikhare Sumer, Chan Darren Yl, Peh Wilfred Cg, Chawla Ashish
Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Alexandra Health, Singapore, Singapore.
Department of General Surgery, Khoo Teck Puat Hospital, Alexandra Health, Singapore, Singapore.
BJR Case Rep. 2016 Sep 2;3(1):20150216. doi: 10.1259/bjrcr.20150216. eCollection 2017.
Abdominal apoplexy due to short gastric artery rupture following vomiting is an exceedingly rare condition. It results from non-traumatic and non-iatrogenic causes. This entity has variable clinical presentation and patients usually present with non-specific abdominal pain. Imaging plays a vital role in early diagnosis, as immediate exploratory laparotomy is the treatment of choice for successful outcome and helps to reduce mortality rate. We report the case of a 27-year-old male patient who presented to the emergency department with acute-onset abdominal pain after multiple episodes of vomiting following binge alcohol drinking. Contrast-enhanced CT revealed intraperitoneal haemorrhage secondary to vessel rupture, probably from a short gastric artery. Intraoperatively, the short gastric artery was identified as the bleeding source and ligated. The patient had an uneventful postoperative course.
呕吐后因胃短动脉破裂导致的腹腔中风是一种极其罕见的病症。它由非创伤性和非医源性原因引起。该病症临床表现多样，患者通常表现为非特异性腹痛。影像学检查在早期诊断中起着至关重要的作用，因为立即进行剖腹探查术是获得成功治疗结果的首选治疗方法，有助于降低死亡率。我们报告一例27岁男性患者，他在大量饮酒后多次呕吐，随后因急性腹痛到急诊科就诊。增强CT显示血管破裂继发腹腔内出血，可能来自胃短动脉。术中，确定胃短动脉为出血源并进行了结扎。患者术后恢复顺利。
