• Emerg. Med. Clin. North Am. · May 2016

    Review

    Abdominal Vascular Catastrophes.

    • Manpreet Singh, Alex Koyfman, and Joseph P Martinez.
    • Department of Emergency Medicine, Harbor-UCLA Medical Center, 1000 W. Carson Boulevard, Torrance, CA 90502, USA.
    • Emerg. Med. Clin. North Am. 2016 May 1; 34 (2): 327-39.

    AbstractAbdominal vascular catastrophes are among the most challenging and time sensitive for emergency practitioners to recognize. Mesenteric ischemia remains a highly lethal entity for which the history and physical examination can be misleading. Laboratory tests are often unhelpful, and appropriate imaging must be quickly obtained. A multidisciplinary approach is required to have a positive impact on mortality rates. Ruptured abdominal aortic aneurysm likewise may present in a cryptic fashion. A specific type of ruptured aneurysm, the aortoenteric fistula, often masquerades as the more common routine gastrointestinal bleed. The astute clinician recognizes that this is a more lethal variant of gastrointestinal hemorrhage.Copyright © 2016 Elsevier Inc. All rights reserved.

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