HomeClinicalAbdominal pain, shock after anticoagulation treatment

Abdominal pain, shock after anticoagulation treatment

Author: Jean-François Paul, MD, Plessis-Robinson, France
Body Region: Abdomen and Pelvis

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 77-year-old woman presented with abdominal pain and shock typical of a hemorrhagic syndrome.
  • Medical history revealed long-term anticoagulation treatment for atrial fibrillation, but no
    recent trauma.

  • Electrocardiography indicated a T wave inversion, suggestive of aortic dissection with cardiac
    involvement.

  • Contrast-enhanced CT of the abdomen was performed to investigate the possibility of internal
    bleeding.