28154669 Visualization

An 82 Age - year Age - old Age male Sex was admitted Clinical_event in our outside Nonbiological_location hospital’s Nonbiological_location emergency Nonbiological_location room Nonbiological_location due to abdominal Biological_structure pain Sign_symptom and faint Sign_symptom .
He had a previous history of auricular History fibrillation History in treatment with a dicumarinic History anticoagulant History and a previous episode of abdominal Biological_structure pain Sign_symptom which was diagnosed as spontaneous Detailed_description mesenchimal Disease_disorder haematoma Disease_disorder and treated Therapeutic_procedure non Therapeutic_procedure operatively Therapeutic_procedure .
He denied any kind of trauma Sign_symptom , and had no hematemesis Sign_symptom or melena Sign_symptom .
At physical Diagnostic_procedure examination Diagnostic_procedure the patient was stable Lab_value and suffered from intense Severity pain Sign_symptom at the right Biological_structure lower Biological_structure abdomen Biological_structure with no defense.
Blood Diagnostic_procedure tests Diagnostic_procedure showed a haemoglobin Diagnostic_procedure level Diagnostic_procedure of 10 Lab_value g/dl Lab_value .
Coagulation Diagnostic_procedure was altered Lab_value as expected.
CT Diagnostic_procedure scan Diagnostic_procedure showed massive Severity hemoperitoneum Sign_symptom (Figure 1) and the already known mesenteric Disease_disorder hematoma Disease_disorder (Figure 2).
Assuming the diagnosis of expansive Detailed_description mesenteric Disease_disorder hematoma Disease_disorder plus ongoing Detailed_description bleeding Sign_symptom a laparotomy Therapeutic_procedure was performed.
During first exploration, 3 Volume liters Volume of fresh Sign_symptom and Sign_symptom old Sign_symptom blood Sign_symptom clots Sign_symptom were found.
At 90cm Distance from Distance the ileocecal Biological_structure valve Biological_structure a torsionated Detailed_description and perforated Detailed_description meckel Disease_disorder diverticulum Disease_disorder with intradiverticular Biological_structure bleeding Sign_symptom was found (Figure 3) and a diverticular Biological_structure resection Therapeutic_procedure was performed.
The postoperatory Therapeutic_procedure was uneventful Lab_value and the patient was discharged Clinical_event home Clinical_event at the 9th Date postoperative Date day Date .