PDF(Pubmed)
Abstract：
Gastric intramural haematoma is a very infrequent condition. It can occur due to clotted gastric haemorrhage as a result of peptic ulcer disease, or following trauma, oral anticoagulant therapy and bleeding disorders. It is usually suspected with the symptoms of gastrointestinal haemorrhage such as haematemesis, melena and haematochezia, and detected by endoscopy. In rare cases, the patient is asymptomatic or presents with non-related symptoms and can diagnosed by computerised tomography. In this case, we report the detection of a gastric intramural haematoma during abdominal ultrasonography in a hypotensive patient who was admitted to the emergency department after sliding and falling from a height.
CONCLUSIONS: It is crucial to remember that FAST ultrasound is important in examining five areas, and epigastric bleeding appears hypoechoic, making ultrasound evaluation essential.
CONCLUSIONS: It is crucial to remember that FAST ultrasound is important in examining five areas, and epigastric bleeding appears hypoechoic, making ultrasound evaluation essential.
摘要：
胃壁内血肿是一种非常罕见的疾病。它可能是由于消化性溃疡疾病引起的凝块性胃出血而发生的，或者创伤后，口服抗凝治疗和出血性疾病。通常怀疑有消化道出血的症状，如呕血，黑便和便血,并通过内窥镜检查检测到。在极少数情况下,患者无症状或出现非相关症状，可通过计算机断层扫描诊断。在这种情况下,我们报告了一名低血压患者在腹部超声检查中发现的胃壁内血肿，该患者是在从高处滑落后进入急诊科的。
结论：记住FAST超声在检查五个方面很重要，上胃出血出现低回声，使超声评估必不可少。
结论：记住FAST超声在检查五个方面很重要，上胃出血出现低回声，使超声评估必不可少。
