Abdominal pain after the repair of an aortoiliac aneurysm Report as inadecuate

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Augusto C von Atzingen ; Fernando Augusto Mardiros Herbella ; Giuseppe D ́Ippólito ; Ramiro Colleoni ;Acta Gastroenterológica Latinoamericana 2012, 42 2

Author: Thiago F Nunes

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Acta Gastroenterológica Latinoamericana ISSN: 0300-9033 actasage@gmail.com Sociedad Argentina de Gastroenterología Argentina Nunes, Thiago F; von Atzingen, Augusto C; Mardiros Herbella, Fernando Augusto; D Ippólito, Giuseppe; Colleoni, Ramiro Abdominal pain after the repair of an aortoiliac aneurysm Acta Gastroenterológica Latinoamericana, vol.
42, núm.
2, junio, 2012, p.
84 Sociedad Argentina de Gastroenterología Buenos Aires, Argentina Available in: http:--www.redalyc.org-articulo.oa?id=199326833001 How to cite Complete issue More information about this article Journals homepage in redalyc.org Scientific Information System Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Non-profit academic project, developed under the open access initiative u IMAGEN DEL NÚMERO Invitamos a los lectores de Acta a que envíen casos con interés clínico o diagnóstico para su publicación en esta sección. Abdominal pain after the repair of an aortoiliac aneurysm Thiago F Nunes,1 Augusto C von Atzingen,1 Fernando Augusto Mardiros Herbella,2 Giuseppe D´Ippólito,1 Ramiro Colleoni 3 1 Division of Abdominal Imaging, Department of Radiology; 2 Division of Gastrointestinal Surgery, Department of Surgery; 3 Center for Digestive and Respiratory Endoscopy. Department of Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil A 67-year-old male patient presented to the emergency department with abdominal pain and decreasing levels of hemoglobin (12.5 g-dL to 10.2 g-dL) at the 12th postoperative day of a repair of an aortoiliac aneurysm.
The patient was on oral anticoagulation (partial thromboplastin time of 40.1 s, prothrombin activity 60%). Figure 1.
Unenhanced. An abdominal CT scan was performed in order to evaluate possible leak from the vascular prosthesis.
It showed an expressive thickening of the anterior gastric wall measuring 12 x 6 cm (Figure 1).
No complications of the aneurysm repair were noticed.

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