Spontaneous Haemomediastinum and Fatal Haemoperitoneum in woman with Vascular Ehlers-Danlos Syndrome

<p><strong>Abstract:</strong> Vascular Ehlers-Danlos Syndrome (EDS) presents with fragility of blood vessels, with high incidence of fatal hemorrhages in middle-age adults. We present a 38-year old female with vascular EDS presented to  the  emergency  unit  with  spontaneous  hemo...

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Main Authors: Isabel Cal (Author), Elena Fernández (Author), Jose V Méndez (Author), Jose R Jarabo (Author)
Format: Book
Published: Archives of Pulmonology and Respiratory Care - Peertechz Publications, 2017-05-29.
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LEADER 00000 am a22000003u 4500
001 peertech__10_17352_aprc_000024
042 |a dc 
100 1 0 |a Isabel Cal  |e author 
700 1 0 |a  Elena Fernández  |e author 
700 1 0 |a  Jose V Méndez  |e author 
700 1 0 |a Jose R Jarabo  |e author 
245 0 0 |a Spontaneous Haemomediastinum and Fatal Haemoperitoneum in woman with Vascular Ehlers-Danlos Syndrome 
260 |b Archives of Pulmonology and Respiratory Care - Peertechz Publications,   |c 2017-05-29. 
520 |a <p><strong>Abstract:</strong> Vascular Ehlers-Danlos Syndrome (EDS) presents with fragility of blood vessels, with high incidence of fatal hemorrhages in middle-age adults. We present a 38-year old female with vascular EDS presented to  the  emergency  unit  with  spontaneous  hemomediastinum  and  hemothorax. A selective arteriography showed  a  bronchial  artery  aneurysm  that  could  be  embolized. Coagulated  hemothorax  was cleared up using intrapleural instillation of urokinase. Acute massive hemoperitoneum happened a few hours later, due  to  spontaneous  disruption  of  a  splenic  artery  aneurysm.  It  could  not  be  managed  and  led  to  the decease of the patient. Multifocal bleeding is a frequent threatening event in vascular EDS.</p> 
540 |a Copyright © Isabel Cal et al. 
546 |a en 
655 7 |a Case Report  |2 local 
856 4 1 |u https://doi.org/10.17352/aprc.000024  |z Connect to this object online.