Hematochezia and right-sided upper abdominal pain after puncture of a liver abscess in a 75-year-old male
This article presents the case of a 75-year-old male patient, who underwent a percutaneous abscess puncture of a liver abscess. A few days after the puncture and drainage there was a sudden onset of right upper quadrant abdominal pain accompanied by hematochezia. The patient presented with markedly elevated liver enzyme levels and a significant drop in hemoglobin concentration. After gastroscopy and abdominal computed tomography (CT) in the portal venous phase no bleeding source could be identified. A false aneurysm of the cystic artery was identified only after a CT angiography of the abdomen. Due to spontaneous cessation of the bleeding a cholecystectomy was subsequently performed for definitive treatment of the false aneurysm.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
|---|---|
| Enthalten in: |
Der Internist - 61(2020), 5 vom: 11. Mai, Seite 513-517 |
| Sprache: |
Deutsch |
|---|
| Weiterer Titel: |
Hämatochezie und rechtsseitiger Oberbauchschmerz nach Punktion eines Leberabszesses bei einem 75-Jährigen |
|---|
| Beteiligte Personen: |
Gürtler, Nicolas [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Aneurysm, false |
|---|
| Anmerkungen: |
Date Completed 28.05.2020 Date Revised 28.05.2020 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00108-020-00781-5 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM308315944 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM308315944 | ||
| 003 | DE-627 | ||
| 005 | 20231225131456.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||ger c | ||
| 024 | 7 | |a 10.1007/s00108-020-00781-5 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1027.xml |
| 035 | |a (DE-627)NLM308315944 | ||
| 035 | |a (NLM)32246182 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a ger | ||
| 100 | 1 | |a Gürtler, Nicolas |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Hematochezia and right-sided upper abdominal pain after puncture of a liver abscess in a 75-year-old male |
| 246 | 3 | 3 | |a Hämatochezie und rechtsseitiger Oberbauchschmerz nach Punktion eines Leberabszesses bei einem 75-Jährigen |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 28.05.2020 | ||
| 500 | |a Date Revised 28.05.2020 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a This article presents the case of a 75-year-old male patient, who underwent a percutaneous abscess puncture of a liver abscess. A few days after the puncture and drainage there was a sudden onset of right upper quadrant abdominal pain accompanied by hematochezia. The patient presented with markedly elevated liver enzyme levels and a significant drop in hemoglobin concentration. After gastroscopy and abdominal computed tomography (CT) in the portal venous phase no bleeding source could be identified. A false aneurysm of the cystic artery was identified only after a CT angiography of the abdomen. Due to spontaneous cessation of the bleeding a cholecystectomy was subsequently performed for definitive treatment of the false aneurysm | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Aneurysm, false | |
| 650 | 4 | |a Cholecystectomy | |
| 650 | 4 | |a Computed tomography angiography | |
| 650 | 4 | |a Cystic artery | |
| 650 | 4 | |a Upper gastrointestinal hemorrhage | |
| 700 | 1 | |a Linnemann, Doris |e verfasserin |4 aut | |
| 700 | 1 | |a Moser, Stephan |e verfasserin |4 aut | |
| 700 | 1 | |a Dräger, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Osthoff, Michael |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Der Internist |d 1960 |g 61(2020), 5 vom: 11. Mai, Seite 513-517 |w (DE-627)NLM000030767 |x 1432-1289 |7 nnns |
| 773 | 1 | 8 | |g volume:61 |g year:2020 |g number:5 |g day:11 |g month:05 |g pages:513-517 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00108-020-00781-5 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 61 |j 2020 |e 5 |b 11 |c 05 |h 513-517 | ||