Lucey Brian C, Varghese Jose C, Soto Jorge A
Division of Body Imaging, Department of Radiology, Boston University Medical Center, Boston, MA 02118, USA.
Curr Probl Diagn Radiol. 2005 Sep-Oct;34(5):182-95. doi: 10.1067/j.cpradiol.2005.06.001.
Spontaneous hemoperitoneum is an uncommon cause of acute abdominal pain. When it occurs, it may be catastrophic. There are a myriad of causes for spontaneous hemoperitoneum and an underlying cause should always be looked for if the patient survives the initial event. This article describes the imaging findings of spontaneous hemoperitoneum and discusses the relative merits of multiple imaging modalities used for the diagnosis of the hemoperitoneum and an underlying cause. In addition, we outline the etiology of spontaneous hemoperitoneum, which includes hepatic, splenic, gynecologic, and vascular causes, and bleeding disorders.
自发性血腹是急性腹痛的一种罕见病因。当其发生时，可能是灾难性的。自发性血腹有众多病因，若患者在初始事件中存活下来，应始终寻找潜在病因。本文描述了自发性血腹的影像学表现，并讨论了用于诊断血腹及其潜在病因的多种影像学检查方法的相对优势。此外，我们概述了自发性血腹的病因，包括肝脏、脾脏、妇科、血管方面的病因以及出血性疾病。
