Byer Robyn Lynn, Witt Michael
Division of Emergency Medicine, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA.
Pediatr Emerg Care. 2009 Dec;25(12):848-50. doi: 10.1097/PEC.0b013e3181c061fb.
Nontraumatic abdominal apoplexy, which is the occurrence of hemorrhage into the peritoneal cavity, is uncommon in the pediatric literature. Adult case reports of nontraumatic abdominal apoplexy include visceral artery aneurysms from the aorta, splenic, celiac, hepatic, gastric, and gastroepiploic arteries as well as gynecologic pathology. We identified 2 case reports of spontaneous abdominal apoplexy due to injury of the short gastric arteries in adult patients with histories of vomiting after alcohol consumption. This is the first reported case of nontraumatic abdominal apoplexy due to injury to the short gastric arteries in a pediatric patient.
非创伤性腹腔卒中是指腹腔内出血，在儿科文献中并不常见。非创伤性腹腔卒中的成人病例报告包括来自主动脉、脾动脉、腹腔动脉、肝动脉、胃动脉和胃网膜动脉的内脏动脉瘤以及妇科病理情况。我们发现了2例成年患者因饮酒后呕吐导致胃短动脉损伤而发生自发性腹腔卒中的病例报告。这是首例关于儿科患者因胃短动脉损伤导致非创伤性腹腔卒中的报告病例。
