Idiopathic omental bleeding

Henry, DN; Satgunam, Shean

doi:10.1093/jscr/2012.9.2

Cited by 11 publications

(12 citation statements)

References 8 publications

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“…Cases of spontaneous hemoperitoneum have been so far reported due to gynecologic pathologies (2) and vessel malformations (3). To our knowledge, there are only a few cases of idiopathic intraabdominal bleeding in patients with hemophilia in the current literature (4,5). Here, we describe etiopathogenesis, clinical course and management as well as outcome of a man (age 20 years) with moderate hemophilia A with an idiopathic omental bleeding.…”

Section: Discussionmentioning

confidence: 88%

“…Since hemophilia is not commonly associated with hemoperitoneum (only a few cases reported in the literature) (4,5) and the patient in this case was young, with no history of hypertension or arteriosclerosis and had no aneurysm, vomiting seems to be the only predisposing factor (6). However, the abdominal distress started two hours before he vomited.…”

Section: S24mentioning

confidence: 99%

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Spontaneous omental bleeding in a 20-year old patient with hemophilia A

Meyer

Wybranski²,

Bruns³

et al. 2016

Hamostaseologie

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SummarySpontaneous intraabdominal hemorrhage is a very rare event even in patients with bleeding disorders like hemophilia. Nevertheless this rare case must be considered in patients with coagulopathies presenting with abdominal pain. Prompt radiologic imaging and surgical consultation are of highest priority. Here we report on a 20-year-old patient with moderate hemophilia A, who underwent emergency laparotomy for a spontaneous idiopathic bleeding of the omentum majus. There are few cases in the literature on this sort of event in patients with hemophilia, who mostly suffer from spontaneous joint bleedings. These patients require an intensive, interdisciplinary perioperative care, involving haematologists, surgeons, radiologists and anesthesists. Finally we discuss, whether an optimized, individually adapted treatment with coagulation factors might possibly have prevented this bleeding event in this patient.

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Section: Discussionmentioning

confidence: 88%

Section: S24mentioning

confidence: 99%

Spontaneous omental bleeding in a 20-year old patient with hemophilia A

Meyer

Wybranski²,

Bruns³

et al. 2016

Hamostaseologie

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“…Surgical technique includes ligation of the bleeding vessel, with or without partial omentectomy or packing if the source is not identified. Inspection of the spleen and other organs should be performed, as well as the mesentery and omentum 20 . Surgery may be the initial treatment of choice where there is limited or no swift access to angiography, where the patient is poorly or non‐responsive to resuscitation and persistently unstable, or where the underlying aetiology is unclear.…”

Section: Discussionmentioning

confidence: 99%

Omental apoplexy: Unravelling the mystery

et al. 2020

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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.

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“…Omental bleeding results from trauma, neoplasia [1], arterial aneurysm rupture [2], omental torsion [3], vasculitis [4], or segmental arterial mediolysis (SAM) [5]. Without remarkable pathological features, the diagnosis of idiopathic omental bleeding is made [6]. Omental bleeding is potentially life-threatening, so it is necessary to provide effective hemostasis.…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Omental Bleeding Treated by Laparoscopic Partial Omentectomy: A Case Report and Review of the Literature

Takayama¹,

Harata²,

Mizuno

et al. 2021

Cureus

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Omental bleeding is potentially life-threatening. There are many causes of omental bleeding including trauma, neoplasia, arterial aneurysm rupture, omental torsion, vasculitis, or segmental arterial mediolysis (SAM). Without remarkable pathological features, the diagnosis of idiopathic omental bleeding is made. Omental bleeding is relatively a rare disease, and there is no established treatment strategy.A 53-year-old woman was brought to the ED for sudden onset abdominal pain. CT revealed hematoma in the omentum and was diagnosed as idiopathic omental bleeding accordingly. The patient underwent laparoscopic partial omentectomy and was discharged nine days after surgery. The pathological findings of the resected omentum were not remarkable, and the final diagnosis was made as idiopathic omental bleeding.In some case reports of omental bleeding, interventional radiology (IVR) was chosen for hemostasis, but IVR cannot resect tissue of omentum so it is difficult to make a pathological diagnosis. The surgical approach of idiopathic omental bleeding is uncommon. However, the use of the laparoscopic approach hasn't been reported in the literature. Laparoscopic partial omentectomy can provide effective hemostasis. We report laparoscopic partial omentectomy surgical procedure and review of the literature.

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Idiopathic omental bleeding

Cited by 11 publications

References 8 publications

Spontaneous omental bleeding in a 20-year old patient with hemophilia A

Spontaneous omental bleeding in a 20-year old patient with hemophilia A

Omental apoplexy: Unravelling the mystery

Idiopathic Omental Bleeding Treated by Laparoscopic Partial Omentectomy: A Case Report and Review of the Literature

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