Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sun, Feb 23, 2025
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Volume 4, Issue 3 (8-1990)
Med J Islam Repub Iran 1990 |
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FAZEL L. MASSIVE GASTROINTESTINAL HEMORRHAGE IN COMBAT CASUALTIES AND TRAUMA VICTIMS SECONDARY TO ARTERIO-VISCERAL FISTULAS. Med J Islam Repub Iran 1990; 4 (3) :165-172
URL: http://mjiri.iums.ac.ir/article-1-1540-en.html
URL: http://mjiri.iums.ac.ir/article-1-1540-en.html
From the Department of Surgery, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Abstract: (4846 Views)
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.
Type of Study: Original Research |
Subject:
Surgery
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