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CASE 416: RETROPERITONEUM HEMATOM, Dr PHAN THANH HAI, VNT NHAN, NT TRANG,TC QUYEN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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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..ruptured  from 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  detected  this small ruptured aneurysma..which was in ligation for control.bleeding.


Post-op is well recovery . 


Conclusion: Ruptured retroperitoneum aneurysm is  easily diagnosed by ultrasound , CT and, DSA.

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