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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Abdominal Pain Followed By Atrial Fibrillation?

A 63-year old man presented with abdominal pain, of sudden onset. the pain was situated across the central abdomen and whilst initially mild, had increased in severity, being continuously present with little fluctuation in it's intensity, . soon after the onset of pain he developed an urge to defecate, the stools appearing normal . the patient had atrial fibrillation ; there was little abdominal tenderness and on other intra-abdominal abnormality. investigations showed a leucocytosis of 15.7 thousand and mild metabolic acidosis. chest X-ray showed no abnormality but electrocardiogram revealed atrial fibrillation.
what is the diagnosis?
what further investigations may be helpful
posted on Fri, 14 Mar 2014
Twitter Fri, 5 Dec 2014 Answered on
Twitter Fri, 5 Dec 2014 Last reviewed on
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General & Family Physician,  's  Response
Hi! Following atrial fibrillation pain abdomen could be due to embolisation of blood clot which could have blocked the intestinal vasculature. Blocking of intestinal blood vessels will lead to ischaemia (lack of blood supply) to the intestine. This will lead to all these symptoms. The next step to do is CT angiography of the abdomen which will show the blood vessels and blood supply completely. Also you have to investigate for reason for atrial fibrillation.
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What Causes Sudden Abdominal Pain Followed By Atrial Fibrillation?

Hi! Following atrial fibrillation pain abdomen could be due to embolisation of blood clot which could have blocked the intestinal vasculature. Blocking of intestinal blood vessels will lead to ischaemia (lack of blood supply) to the intestine. This will lead to all these symptoms. The next step to do is CT angiography of the abdomen which will show the blood vessels and blood supply completely. Also you have to investigate for reason for atrial fibrillation.