Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1369
5
1
gregorian
1990
8
1
4
3
online
1
fulltext
en
MASSIVE GASTROINTESTINAL HEMORRHAGE IN COMBAT CASUALTIES AND TRAUMA VICTIMS SECONDARY TO ARTERIO-VISCERAL FISTULAS
Surgery
Surgery
Original Research
Original Research
Massive upper gastrointestinal bleeding is a known complication of
advanced sepsis in trauma patients and carries a grave prognosis. However,
to our knowledge, an important cause of massive gastrointestinal bleeding,
arterio-visceral fistula, has not been discussed in the literature. The most
common cause of this unique clinical entity is penetrating high velocity
abdominal injuries, although blunt trauma may also be responsible. Due to
partial injury of the major intraabdominal vessels, a false aneurysm is
formed. The intraabdominal false aneurysm, causing pressure necrosis in the
intestinal wall, perforates into the gut with massive hemorrhage. Characteristics
of this hemorrhage include its massive and bright red nature, recurrence,
and curability with correct diagnosis and appropriate treatment. Our
experience with sixteen cases, clinical presentation, diagnostic features and
surgical treatment is discussed in this paper.
165
172
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-741&slc_lang=en&sid=1
lRADJ
FAZEL
20031947532846006441
20031947532846006441
Yes
From the Department of Surgery, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.