Woman
56 yo with epigastric pain and anemia, RBC= 2.99m/L Hct= 28%
Normal
colonoscopy.
US
of abdomen detected one retroperitoneum
mass near the head of pancreas, looked like hematoma ( US 1, US 2 ,US 3).
MSCT
with CE confirmed this mass is retroperitoneum
hematoma, maybe due to rupture from a small aneurism of gastroduodenal
artery (CT1, CT 2, CT 3 CT 4 3D reconstruction).
Emergency
DSA detected the abnormal.variation of hepatic
artery and small aneurysm of gastroduodenal artery had stopped
bleeding.
Survey
this case for Hct dropped to 25% and operation for control bleeding by ligation this small ruptured aneurysma .
Post-Op
is in well recovery .
Conclusion: Easily diagnosed ruptured retroperitoneum aneurysm by combining of ultrasound, CT and, DSA.
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