Korean J Crit Care Med.  2013 Aug;28(3):210-213. 10.4266/kjccm.2013.28.3.210.

A Case of Hemoperitoneum due to Spontaneous Rupture of Visceral Artery Aneurysm after Ingestion of Puffer Fish

• Lee DW
• Kim HK
• Lee HJ
• Hong JM
• Kwon JY

• KMID: 2227843
• DOI: http://doi.org/10.4266/kjccm.2013.28.3.210

Abstract

Ingestion of puffer fish can cause intoxication, which produces a wide range of symptoms due to the presence of neurotoxins, such as tetrodotoxin, in puffer fish. Abdominal pain is just one of the symptoms that should be treated with symptomatic and supportive therapy. This study reports a case of a 56-year-old male patient with abdominal pain, who was admitted to the emergency room with a diagnosis of puffer fish poisoning. In this case, the abdominal pain did not improve, but rather, the symptoms worsened. Finally, the cause of the abdominal pain was found to be hemoperitoneum due to active bleeding at the greater omentum, as observed on abdominal computed tomography; the source of bleeding was the right colic artery branch. Embolization was performed successfully, and the post-intervention course was uneventful. The patient was discharged without any complications within 13 days after admission.

Keyword

embolization; hemoperitoneum; puffer fish

MeSH Terms

Abdominal Pain
Aneurysm
Arteries
Colic
Eating
Emergencies
Hemoperitoneum
Hemorrhage
Humans
Male
Neurotoxins
Omentum
Rupture, Spontaneous
Tetraodontiformes
Tetrodotoxin
Neurotoxins
Tetrodotoxin