Awards & Distinctions ?
American Board of Emergency Medicine
Dr. Cawyer is affiliated with
Harris Methodist Southlake Center For Diagnostics
1545 E Southlake Blvd, Southlake, TX 76092
Texas Health HEB
Harris Continued Care Hospital
1301 Pennsylvania Ave, Fort Worth, TX 76104
Harris Methodist - Springwood
1608 Hospital Pkwy, Bedford, TX 76022
Publications & Research
|Dr. Cawyer has contributed to
||Abdominal Apoplexy: A Case Report and Review.
||The Journal of Emergency Medicine
Abdominal apoplexy, or the newer term, idiopathic spontaneous intraperitoneal hemorrhage (ISIH), represents a rare cause of non-traumatic intra-abdominal bleeding. As with any acute blood loss, this problem often presents to the Emergency Department (ED) for initial evaluation and resuscitation. The case of a 52-year-old man with abdominal pain and distention due to spontaneous intraperitoneal hemorrhage is presented. This patient developed impending cardiovascular compromise in the ED and was subsequently diagnosed by computed tomography scan as having an intra-abdominal hematoma. Emergent exploratory laparotomy was performed and the patient was found to have spontaneous bleeding from a branch of the middle colic artery that was ligated without complication. The patient recovered well with no recurrent bleeding. The pathophysiology, diagnostic approach, and treatment of ISIH are reviewed.