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创伤后腹腔积血:脾组织腹腔植入的一种罕见并发症

[Post-traumatic hemoperitoneum: a rare complication of peritoneal splenosis].

作者信息

Carreira M, Conde R, Miranda C, Cerdeiras R, Gurriarán M J

机构信息

Hospital Comarcal Valdeorras, Barco de Valdeorras, Orense.

出版信息

Rev Clin Esp. 1991 Sep;189(4):175-7.

PMID:1745804
Abstract

Peritoneal splenosis is a frequent condition after traumatic spleen fracture, which, given that it is usually asymptomatic, is often not diagnosed unless a laparotomy is performed for some other reason. The case is presented of a 9 year old boy splenectomized a few years earlier because of traumatism, who again suffers abdominal injury with the development of hemoperitoneum, observing during surgery multiple splenosis foci disseminated all over the abdominal cavity, some of which present rupture and hemorrhage, constituting the cause of hemoperitoneum.

摘要

腹膜脾组织植入是外伤性脾破裂后常见的情况,鉴于其通常无症状,除非因其他原因进行剖腹手术,否则往往无法诊断。本文报告一例9岁男孩,数年前因外伤行脾切除术,此次再次遭受腹部损伤并出现腹腔积血,手术中观察到腹腔内散布着多个脾组织植入灶,其中一些出现破裂和出血,构成腹腔积血的原因。

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