Abdominal anaphylaxis presenting as trauma: a recipe for delayed diagnosis

Authors

J. Hector Pope MD, Baystate Health
Eleanor Winston MD, Baystate HealthFollow
Khaldoon Al Dulaimy MD, Baystate Health

Author Department

Emergency Medicine; Surgery

Document Type

Article, Peer-reviewed

Publication Date

10-1-2012

Abstract

BACKGROUND: Successful shock management requires prompt identification, classification, and treatment; however, the triage of patients with non-hemorrhagic shock to the trauma room can lead to delayed diagnosis with increased morbidity and mortality. OBJECTIVE: Our goal is to emphasize the importance of shock identification and classification to facilitate the delivery of the appropriate and timely therapy, no matter how the patient is triaged. CASE REPORT: We describe a patient triaged as a trauma patient with suspected hemorrhagic shock yet who was found to have anaphylaxis as the etiology of his condition. Abdominal anaphylaxis, a less recognized presentation of anaphylaxis, is reviewed and discussed. CONCLUSIONS: We hope to increase awareness of a less common presentation of anaphylaxis and discuss its management. Copyright © 2012 Elsevier Inc. All rights reserved.

Publication ISSN

0733-2459

Recommended Citation

Rankins KB, McGovern R, Winston ES, Al Dulaimy K, Pope JH. Abdominal anaphylaxis presenting as trauma: a recipe for delayed diagnosis J Emerg Med 2012 Oct;43(4):630-3.