Abstract:
INTRODUCTION:To describe cases omental haemorrhage and to review the literature on this topic. METHODS:We describe three cases of spontaneous omental haemorrhage and discuss various management strategies, in an attempt to provide direction for similar cases in the future. RESULTS:A number of case reports of spontaneous or idiopathic omental haemorrhage exist in the literature. These cases are often attributed to an underlying vasculopathy, such as segmental arterial mediolysis (SAM). Appropriate resuscitation is paramount for best outcome. Severe bleeding may require surgery or transcatheter arterial embolisation, which is best performed early if required. Endovascular management using selective catheterisation of the bleeding vessel and embolisation is a minimally invasive alternative to emergent operative intervention. In the three cases we present, endovascular embolisation was performed in two patients, and surgical ligation in a third. Segmental arterial mediolysis is considered the likely aetiology in at least 2 of the 3 cases, based on imaging findings. No further episodes of haemorrhage occurred at follow-up (ranging from 6 months to 2 years). CONCLUSIONS:Acute omental haemorrhage is a rare condition; however, it may be associated with significant morbidity and mortality. CT angiography is the imaging of choice. Management strategies include both endovascular and surgical intervention.
journal_name
J Med Imaging Radiat Oncoljournal_title
Journal of medical imaging and radiation oncologyauthors
Moriarty HK,Martin K,Koukounaras J,Goh GS,Clements Wdoi
10.1111/1754-9485.13024subject
Has Abstractpub_date
2020-06-01 00:00:00pages
319-325issue
3eissn
1754-9477issn
1754-9485journal_volume
64pub_type
杂志文章abstract:INTRODUCTION:To analyse the findings of multiple detector computed tomography (MDCT) after direct lymphangiography in primary intestinal lymphangiectasia (PIL). METHODS:Fifty-five patients with PIL were retrospectively reviewed. All patients underwent MDCT after direct lymphangiography. The pathologies of 16 patients ...
journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/1754-9485.12606
更新日期:2017-10-01 00:00:00
abstract::Patients with colorectal cancer undergo frequent diagnostic imaging to stage the extent of metastatic disease and assess response to treatment. Imaging is typically via diagnostic contrast-enhanced CT or combined FDG-PET/CT. However, recent research has demonstrated promising benefits of combined FDG-PET/MRI in oncolo...
journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章,评审
doi:10.1111/1754-9485.12936
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journal_title:Journal of medical imaging and radiation oncology
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更新日期:2014-08-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of medical imaging and radiation oncology
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 临床试验,杂志文章
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/1754-9485.12820
更新日期:2019-02-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 临床试验,杂志文章
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章,meta分析
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/j.1754-9485.2011.02264.x
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type:
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/1754-9485.12113
更新日期:2014-01-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/j.1754-9485.2010.02230.x
更新日期:2011-02-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/j.1754-9485.2010.02209.x
更新日期:2010-10-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
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更新日期:2013-08-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/1754-9485.12084
更新日期:2013-10-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/1754-9485.12080
更新日期:2014-02-01 00:00:00
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journal_title:Journal of medical imaging and radiation oncology
pub_type: 杂志文章
doi:10.1111/1754-9485.13139
更新日期:2021-01-24 00:00:00