Successful resuscitation after splenic artery aneurysm ruptu
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Massive hematemesis with hemorrhagic shock without trauma and subsequent cardiac arrest is a clear life-threatening situation. Intragastric rupture of an aneurysm of the splenic artery is a rare but important differential diagnosis and urgent diagnosis, usually by computed tomography (CT), and rapid treatment, usually open surgery, are necessary. A 48-year-old man was brought to our emergency department after he started vomiting blood and collapsed at the nearby main railway station. Despite prompt crystalloid and colloid fluid infusions, the patient's condition deteriorated as vomiting of fresh blood persisted. Soon after arrival at our shock room, the patient suffered cardiac arrest and cardiopulmonary resuscitation was started and treatment with packed red blood cells, crystalloid and colloid fluids, fresh frozen plasma, tranexamic acid and blood coagulation factors was begun...

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