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Intraperitoneal Haemorrhage Secondary to Rupture of Right Colic Artery Pseudoaneurysm: A Case Report and Literature

Prashanth B Chowdary1, Gaurav Maheshwari1, Maria Haynes2

  • 1General and Colorectal Surgery, Medway NHS Foundation Trust, Gillingham, GBR.

Cureus
|October 6, 2023
PubMed

This article presents the case of a 58-year-old woman who presented feeling unwell with pain in the right upper abdomen for three days. She had a history of splenic infarcts, was on lifelong warfarin and had recently returned from a trip to Gambia. She was admitted to the hospital under suspicion of sepsis of unknown origin, and a CT scan later revealed haemoperitoneum along with a pseudoaneurysm of the right colic artery. After initially responding to resuscitation, the patient deteriorated haemodynamically, and a decision was made to perform a laparotomy, revealing a ruptured right colic artery pseudoaneurysm. In this article, the authors highlight the challenges of managing a complex unwell patient with a ruptured right colic artery pseudoaneurysm, emphasising the importance of a multi-disciplinary team approach and shared decision-making and reviewing the available literature.

Keywords:
endovascular aneurysm repairhaemoperitoneummulti-disciplinary team approachpseudo aneurysmright colic arterytraumatic pseuoaneurysmurgent laparotomy

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