Puche P, Jacquet E, Jaber S, Carabalona J P, Bouyabrine H, Domergue J, Navarro F
Service médicochirurgical des maladies de l'appareil digestif et transplantation hépatique, Hôpital St Eloi, Montpellier, France.
J Chir (Paris). 2007 Mar-Apr;144(2):157-9. doi: 10.1016/s0021-7697(07)89494-4.
Spontaneous haemoperitoneum due to ruptured intra abdominal varices with cirrhosis is rare and the diagnosis is generally difficult. Two cases of spontaneous intraperitoneal bleeding due to ruptures varices with cirrhosis are reported. One case is a ruptured portal cavernome and the other one is a ruptured varix of the gastrosplenic ligament. The combination of hypovolemic shock with increasing abdominal girth should impose the diagnosis. This is a surgical emergency and the mortality rate is high.
肝硬化伴腹腔内静脉曲张破裂导致的自发性血腹罕见,诊断通常困难。本文报告两例肝硬化伴静脉曲张破裂导致的自发性腹腔内出血病例。一例为门静脉海绵样变性破裂,另一例为胃脾韧带静脉曲张破裂。低血容量性休克伴腹围增加应提示诊断。这是一种外科急症,死亡率很高。