[Secondary @entity9440 after thrombolysis for acute XXXX ]

@entity1 @entity662 @entity1457 @entity951 @entity583 @entity9440
Secondary @entity9440 after thrombolysis for acute @entity583 . HISTORY AND ADMISSION FINDINGS: A 67-year-old male @entity1 was admitted with acute @entity662 and signs of an @entity583 in the ECG. The usual contraindications were excluded and after a systemic lysis with rt-PA the ECG-alterations as well as the symptoms of @entity951 resolved completely. 2 hours later the @entity1 developed an acute abdomen with a severe @entity1457 . INVESTIGATIONS: On ultrasound and CT a massive intraabdominal bleeding was found. TREATMENT AND COURSE: Emergency laparotomy revealed a @entity9440 . Retrospectively, 6 weeks before admission, the @entity1 had fallen from a ladder to his left side. This is a rare case of a secondary @entity9440 during thrombolysis for acute @entity583 . 2 weeks later the @entity1 developed rein-farction with angiographically shown two vessel disease. After angioplasty of the ramus interventricularis anterior (RIVA) he was stable. CONCLUSIONS: Intravenous thrombolysis in case of acute @entity583 is the method of choice. In the past a great number of @entity1 were excluded from thrombolysis because of an extensive interpretation of contraindications. The aim to reach an alteration in this use may not risk health of @entity1 by insufficient history.
