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Perirectal Hematoma Presenting as Purpura

Perirectal Hematoma Presenting as Purpura Abstract Purpura may be an important cutaneous sign of intra-abdominal or intrapelvic hemorrhage. Perianal purpura in this patient was a cutaneous sign of a ruptured iliac artery aneurysm. REPORT OF A CASE An 85-year-old man presented with a history of sudden onset of intense rectal pain accompanied by suprapubic pain, tenesmus, and difficulty with urination. He was lying down after a large breakfast when he suffered 10 to 15 seconds of exquisite perirectal pain. He denied melena, hematochezia, fever, nausea, vomiting, epistaxis, or other systemic complaints. He had a history of severe peripheral arteriosclerotic vascular disease requiring several repair grafts for an aortic aneurysm, bilateral iliac aneurysms, and bilateral popliteal aneurysms. He underwent a nephrectomy secondary to surgical complications and also suffered from chronic renal insufficiency.On physical examination, his temperature was 100°C; heart rate, 100 beats per minute; and blood pressure, 148/70 mm Hg. His abdomen was supple with audible References 1. Lotti T, Ghersetich I, Panconesi E. The purpuras . Int J Dermatol. 1994;33:1-10.Crossref 2. DiMagno EP. Pancreatitis . In: Kelley WN, Devita VT, DuPont HL, et al, eds. Textbook of Internal Medicine . Philadelphia, Pa: JB Lippincott; 1992:531-537. 3. Tamvakopoulos SK, Corvese WP, Vargas LL. Perianal hematoma: a sign of leakage after rupture of aortic aneurysm . N Engl J Med. 1969;280:548-549.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Perirectal Hematoma Presenting as Purpura

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1996.03890300027003
Publisher site
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Abstract

Abstract Purpura may be an important cutaneous sign of intra-abdominal or intrapelvic hemorrhage. Perianal purpura in this patient was a cutaneous sign of a ruptured iliac artery aneurysm. REPORT OF A CASE An 85-year-old man presented with a history of sudden onset of intense rectal pain accompanied by suprapubic pain, tenesmus, and difficulty with urination. He was lying down after a large breakfast when he suffered 10 to 15 seconds of exquisite perirectal pain. He denied melena, hematochezia, fever, nausea, vomiting, epistaxis, or other systemic complaints. He had a history of severe peripheral arteriosclerotic vascular disease requiring several repair grafts for an aortic aneurysm, bilateral iliac aneurysms, and bilateral popliteal aneurysms. He underwent a nephrectomy secondary to surgical complications and also suffered from chronic renal insufficiency.On physical examination, his temperature was 100°C; heart rate, 100 beats per minute; and blood pressure, 148/70 mm Hg. His abdomen was supple with audible References 1. Lotti T, Ghersetich I, Panconesi E. The purpuras . Int J Dermatol. 1994;33:1-10.Crossref 2. DiMagno EP. Pancreatitis . In: Kelley WN, Devita VT, DuPont HL, et al, eds. Textbook of Internal Medicine . Philadelphia, Pa: JB Lippincott; 1992:531-537. 3. Tamvakopoulos SK, Corvese WP, Vargas LL. Perianal hematoma: a sign of leakage after rupture of aortic aneurysm . N Engl J Med. 1969;280:548-549.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Jun 1, 1996

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