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Trans Arterial Embolization of Spontaneous Intra-Abdominal Haemorrhage from Omental Lipoma

机译:大网膜脂肪瘤的自发性腹腔内出血的经动脉栓塞术

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摘要

We describe 3 cases of omental lipoma of whom 2 presented with symptomatic haemorrhage. Notably the haemorrhage in the 2 reported cases was from foregut arteries. Thorough knowledge of anatomy and embryology is critical in identifying the source of haemorrhage and differentiating this condition from other common causes of mesenteric haemorrhage. To the best of our knowledge, this is the first case series reporting this uncommon cause for abdominal haemorrhage. The successful management of this condition using superselective embolization is discussed. Clinicians need to exercise diligence and caution in omental lipomas presenting with spontaneous haemorrhage and this notion is exemplified in our reported cases.
机译:我们描述了3例网膜脂肪瘤,其中2例出现症状性出血。值得注意的是,在2例报告病例中,出血是由前肠动脉引起的。对解剖学和胚胎学的透彻了解对于识别出血的来源以及将该疾病与肠系膜出血的其他常见原因区分开来至关重要。据我们所知,这是第一个报告这种罕见的腹部出血原因的病例系列。讨论了使用超选择性栓塞术成功治疗这种情况。临床医生需要对出现自发性出血的网膜脂肪瘤进行勤奋和谨慎,这一观点在我们报道的病例中得到了体现。

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