[一名HIV阳性患者脾内卡波西肉瘤期间的自发性脾破裂]

[Spontaneous splenic rupture during intrasplenic Kaposi's sarcoma in an HIV-positive patient].

作者信息

Trésallet Christophe, Thibault Frédéric, Cardot Vincent, Baleston Florence, Nguyen-Thanh Quang, Chigot Jean-Paul, Menegaux Fabrice

机构信息

Service de Chirurgie Générale, Hôpital de la Pitié-Salpétrière, Paris.

出版信息

Gastroenterol Clin Biol. 2005 Dec;29(12):1296-7. doi: 10.1016/s0399-8320(05)82227-4.

DOI:10.1016/s0399-8320(05)82227-4

PMID:16518293

Abstract

Spontaneous splenic rupture is a rare cause of peritoneal bleeding. Etiology is usually infections (viral, bacterial or parasitic) and blood diseases (leukemia, lymphoma, dysglobulinemia). We report the first case of spontaneous splenic rupture secondary to hilar Kaposi's sarcoma in an HIV positive patient. Emergency splenectomy was performed to achieve hemostasis, and the etiological diagnosis of this spontaneous splenic rupture was based on the histological analysis.

摘要

自发性脾破裂是腹膜出血的罕见原因。病因通常是感染（病毒、细菌或寄生虫）和血液疾病（白血病、淋巴瘤、球蛋白异常血症）。我们报告了首例HIV阳性患者因肝门部卡波西肉瘤继发自发性脾破裂的病例。为实现止血进行了急诊脾切除术，该自发性脾破裂的病因诊断基于组织学分析。