Takehiko Gokan MD, Presenter: Nothing to Disclose

Nobuyuki Takeyama MD, Abstract Co-Author: Nothing to Disclose

Noritaka Seino, Abstract Co-Author: Nothing to Disclose

Sinya Ikeda, Abstract Co-Author: Nothing to Disclose

Hiroto Sasamori, Abstract Co-Author: Nothing to Disclose

To understand clinical manifestations, causes, and MDCT features of massive nontraumatic hemorrhage in the abdomen and the pelvis. To understand MDCT anatomy of the peritoneum, retroperitoneum, and abdominal wall. To understand the role of interventional therapy for management of this condition.  

The cases will be presented in a quiz format. Key differential diagnostic points, pitfalls, and therapeutic management will be highlighted in the discussion of each case. 1. To review the MDCT anatomy of peritoneum, retroperitoneum, and abdominal wall. 2. Cases of the hemorrhage Hemorrhagic diathesis or coagulopathy: administration of anticoagulants, disseminated intravascular coagulopathy (DIC), antiphospholipid syndrome, end-stage kidney disease etc. Vascular lesion: aneurysm, pseudoaneurysm, segmental arterial mediolysis Tumor-associated hemorrhage: Tumor site in liver, spleen, kidney, adrenal gland, peritoneum etc. Gynecologic condition: ruptured ovarian cyst, ectopic pregnancy, HELLP syndrome etc. Iatrogenic injury: complication of surgery, interventional procedure etc. 3. Review and discussion for the management of the hemorrhage.  

http://abstract.rsna.org/uploads/2014/14016386/14016386_mffw.pdf

Gokan, T, Takeyama, N, Seino, N, Ikeda, S, Sasamori, H, Massive Nontraumatic Hemorrhage in the Abdomen and the Pelvis: What the Radiologists Need to Know.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016386.html