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主动脉隐匿性破裂作为长期腹痛的一个病因

[Contained rupture of the aorta as a cause of prolonged abdominal pain].

作者信息

Blumberger Naava, Bergman Michael, Salman Hertzel

机构信息

Department of Internal Medicine C, Campus Golda-Hasharon, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel.

出版信息

Harefuah. 2007 Oct;146(10):803-5, 812.

PMID:17990399
Abstract

Abdominal pain is a frequent complaint. In this report, a woman who presented with abdominal pain was found to have a contained rupture of the abdominal aorta that extended into the retroperitoneum. The diagnosis was difficult due to the multiple manifestations in the clinical presentation. Rupture of the aorta is more frequent in patients who suffer from an aortic aneurysm. The patient described, however, did not have an aneurysm, as illustrated by the abdominal CT scan and surgical findings. Therefore, abdominal or back pain may be caused by a rupture of the aorta, even in the absence of an aortic aneurysm.

摘要

腹痛是一种常见的主诉。在本报告中,一名因腹痛就诊的女性被发现腹主动脉有局限性破裂并延伸至腹膜后。由于临床表现有多种表现,诊断较为困难。主动脉破裂在患有主动脉瘤的患者中更为常见。然而,如腹部CT扫描和手术结果所示,所描述的患者并没有动脉瘤。因此,即使没有主动脉瘤,腹痛或背痛也可能由主动脉破裂引起。

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