Neumann J, Ambrosius C, Zirngibl H
Chirurgische Klinik, Lehrstuhl für Chirurgie II der Universität Witten/Herdecke.
Chirurg. 1999 Jul;70(7):800-2. doi: 10.1007/pl00002596.
The diffuse angiomatosis of the spleen is a rare splenic proliferation. Spontaneous rupture is the main, potentially lethal complication, found in 25% of cases. The problem with these vascular tumors is preoperative diagnosis, because they are asymptomatic for a long time. First-choice therapy is limited resection. In the case of rupture, splenectomy is a life-saving procedure. We report on a 56-year-old woman with a spontaneous splenic rupture as the first symptom of diffuse angiomatosis of the spleen. Exceptional features of splenic hemangiomas, causes of spontaneous rupture and the therapy are described.
脾脏弥漫性血管瘤病是一种罕见的脾脏增殖性疾病。自发性破裂是主要的、潜在致命的并发症,见于25%的病例。这些血管肿瘤的问题在于术前诊断,因为它们长期无症状。首选治疗方法是局限性切除。发生破裂时,脾切除术是挽救生命的手术。我们报告一例56岁女性,以脾脏自发性破裂作为脾脏弥漫性血管瘤病的首发症状。文中描述了脾血管瘤的特殊特征、自发性破裂的原因及治疗方法。