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82 Possible Causes for Abdominal Distension, Pelvic Hematoma, Shock

  • Ectopic Pregnancy

    Additional symptoms that may develop include: Pelvic or abdominal pain Vaginal bleeding or spotting Lightheadedness, signs of shock, low blood pressure or abdominal distension[clicks.co.za] We report the case of a 27-year-old woman who was admitted to the hospital due to abdominal pain and hemorrhagic shock.[ncbi.nlm.nih.gov] Abdominal distension. Enlarged uterus. Tachycardia and/or hypotension. Shock or collapse.[patient.info]

  • Splenic Rupture

    In the presence of severe anemia with pallor and abdominal distension, particularly in the context of a difficult birth, an abdominal ultrasound must be urgently performed[ncbi.nlm.nih.gov] Following the CT, the radiologist immediately called with preliminary results concerning for splenic laceration and hematoma with hemorrhagic abdominal and pelvic ascites[westjem.com] The classic presentation is a triad of bleeding, abdominal distension, and hemoperitoneum.[ncbi.nlm.nih.gov]

  • Hemoperitoneum

    We herein present a case of a 48-year-old woman who was urgently referred to our clinic with colic, abdominal distension, and hypovolemic shock during menstruation.[ncbi.nlm.nih.gov] KEYWORDS: Fibroid; Hemoperitoneum; Hypovolemic shock; Leiomyoma; Pedunculated leiomyoma; Spontaneous avulsion[ncbi.nlm.nih.gov] […] formed by the intra-pelvic medial migration of the K wire.[msjonline.org]

  • Constipation

    The patient was brought to the emergency department with intermittent headache, vomiting, constipation, and abdominal distension and pain.[ncbi.nlm.nih.gov] This is shocking to me for two reasons: 1. Miralax is not even approved for children. 2. It’s only supposed to be used in adults for a maximum of seven days.[mommypotamus.com] Digital examination revealed a pulseless tumor and pelvic CT and US showed the big cystic lesion.[doi.org]

  • Intestinal Obstruction

    A 27-year-old male presented with a history of gastric pain combined with nausea and abdominal distension that had been present for 5 d.[ncbi.nlm.nih.gov] While some patients are asymptomatic, others present to medical attention with vague abdominal symptoms, an acute abdomen, or in shock.[ncbi.nlm.nih.gov] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[unboundmedicine.com]

  • Volvulus

    The patient was admitted to the hospital with enormous abdominal distension and acute respiratory insufficiency.[ncbi.nlm.nih.gov] We present a 19-year-old male diagnosed with ATR-X syndrome, who suffered from recurrent colonic volvulus that ultimately led to bowel necrosis with severe septic shock requiring[ncbi.nlm.nih.gov] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org]

  • Volvulus of the Small Intestine

    A 56-year-old woman, with a history of appendectomy 30 years previously, was admitted with abdominal distension and signs of peritonitis.[ncbi.nlm.nih.gov] Shock as a feature of extensive volvulus is stressed, and its cause in these cases is related to the previous animal experimental work of others.[ncbi.nlm.nih.gov] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org]

  • Traumatic Rupture of the Bladder

    These injuries in a child can present as abdominal pain, emesis, constipation, multiple ecchymoses, and abdominal distension.[ijhas.in] Some of the possible complications of injury of the bladder and urethra are: Bleeding, shock. Blockage to the flow of urine .[medlineplus.gov] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[emedicine.medscape.com]

  • Retroperitoneal Hemorrhage

    A patient with end-stage renal disease on maintenance hemodialysis developed sudden severe abdominal pain and distension.[ncbi.nlm.nih.gov] […] patient who underwent TrapEase IVC filter placement with anticoagulation and thrombolytic therapy for treatment of pulmonary embolism, and later demonstrated hemorrhagic shock[ncbi.nlm.nih.gov] Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[ncbi.nlm.nih.gov]

  • Retroperitoneal Hematoma

    RH can also present as an abdominal mass accompanied by distension, whereas newly form ascites is a highly indicative sign of an ongoing process in the abdomen.[symptoma.com] REBOA is an attractive new tool to gain proximal aortic control in select patients with hemorrhagic shock.[ncbi.nlm.nih.gov] One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.[ncbi.nlm.nih.gov]

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