Ortmans H, Wildhirt E, Lesch P
Leber Magen Darm. 1978 Apr;8(2):116-7.
A case report is given of a patient, who had been operated upon because of gall stones before; the gall bladder had not been removed. At a later date peritoneoscopy was planned and gas insufflated into the abdominal cavity in the usual manner; the patient did not complain about anything particular during peritoneoscopy. However adhesions apparently having formed after the earlier operation between the spleen and the abdominal wall did rupture during this procedure leading to a continously oozing hemorrhage from the spleen. At surgery 3 1 of blood were found in the abdominal cavity and splenectomy became unavoidable. This case report is given in order to draw attention to this sort of complication of peritoneoscopy.
本文报告一例患者，该患者曾因胆结石接受过手术，胆囊未被切除。后来计划进行腹腔镜检查，并以常规方式向腹腔内注入气体；在腹腔镜检查过程中，患者未诉任何特殊不适。然而，先前手术后脾脏与腹壁之间显然形成的粘连在此过程中破裂，导致脾脏持续渗血。手术时发现腹腔内有3升血液，脾切除术不可避免。给出此病例报告是为了引起对这种腹腔镜检查并发症的关注。
