Case Presentation Morbidity and …

case PresentationMorbidity and mortalitymorbidity and Mortality ConferenceRavi Dhanisetty, County Hospital Center1 May 20091 May PresentationCase Presentationz53 ear old male b s dri er had a s ncopalz53 year old male bus driver had a syncopal episode and found down to emergency room by EMSzBrought to emergency room by EMSzInitial vitals SBP 70, HR 120szPtitididzPatient regained consciousness and complained of left flank pain radiating to left was aggressively resuscitated and a CT scan of the abdomen was scan of the abdomen was PresentationCase PresentationLaboratory values:yzArterial blood gas - zLactate / Hct / 30 Emergent surgical consultation Exam:{Patient was in extremis pale, diaphoretic, tachypnic {Diffusely distended abdomen{Diffusely distended was taken to OR for CourseOperative CoursezGiant retroperitoneal hematoma extending from the pginguinal ligament to diaphragm with hemoperitoneumzSize of hematoma precluded proximal vascular control outside the the the hematoma and proximal control was attempted by compressing aorta against the spinezLft idddil il ttifdzLeft sided medial visceral rotation was performedzAorta was clamped proximal to a widely ruptured iliac artery aneurysm.}}}

Case Presentation Morbidity and MortalityMorbidity and Mortality Conference Ravi Dhanisetty, M.D. Kings County Hospital Center 1 May 20091 May 2009

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