Reilly Eugene F, Blansfield Joseph A, Zebley D Mark
Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, USA.
Dis Colon Rectum. 2005 Jul;48(7):1484-6. doi: 10.1007/s10350-004-0920-5.
We describe a case of idiopathic abdominal apoplexy secondary to a spontaneous mesocolic bleed. Preoperative computed tomography of the abdomen suggested a ruptured colonic mass at the splenic flexure. The diagnosis was made when exploratory laparotomy revealed hemoperitoneum and an extensive hematoma in the transverse mesocolon, with no apparent source. Idiopathic abdominal apoplexy is rare, the reported mortality has historically been high, and a short hospital stay and rapid, complete recovery are uncommon, although outcomes may be improving in recent years. We present such a case and examine the clinical presentation, management, and prognosis through literature review.
我们描述了一例继发于自发性结肠系膜出血的特发性腹部卒中病例。术前腹部计算机断层扫描提示脾曲处结肠肿物破裂。当剖腹探查发现腹腔积血和横结肠系膜广泛血肿且无明显出血源时，做出了诊断。特发性腹部卒中罕见，既往报道的死亡率较高，住院时间短且能迅速、完全康复的情况并不常见，尽管近年来预后可能有所改善。我们呈现这样一个病例，并通过文献回顾来研究其临床表现、治疗及预后。
