Richter R H, Reingruber B, Grüneis C, Altendorf-Hofmann A, Rupprecht H
Chirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany.
Zentralbl Chir. 2001 Aug;126(8):630-1. doi: 10.1055/s-2001-16561.
Spontaneous splenic rupture is a rare cause of non-traumatic haemorrhage and is of infectious origin in most instances. We present a patient under treatment for abdominal manifestations of metastatic malignant melanoma who developed signs of haemorrhagic shock and where, upon emergency laparotomy, metastases were found to have caused rupture of the spleen. The patient recovered after splenectomy and was continued on systemic chemoimmunotherapy. One year after the incident he died of cerebral metastases.
自发性脾破裂是一种非创伤性出血的罕见原因,在大多数情况下源于感染。我们报告一例正在接受转移性恶性黑色素瘤腹部表现治疗的患者,该患者出现了失血性休克的体征,在急诊剖腹手术时发现转移灶导致了脾破裂。患者在脾切除术后康复,并继续接受全身化学免疫治疗。事件发生一年后,他死于脑转移。