自发性巨大慢性腰椎血肿：一例报告
Spontaneous and enormous, chronic expanding hematoma of the lumbar region: a case report.
作者信息
Pasku Dritan, Bano Artan, Lagoudaki Eleni, Alpantaki Kalliopi, Katonis Pavlos
机构信息
Department of Orthopaedic and Traumatology, University Hospital of Heraklion, 71110, Crete, Greece.
出版信息
Cases J. 2009 Dec 24;2:9400. doi: 10.1186/1757-1626-2-9400.
BACKGROUND
Chronic expanding haematoma (CEH) is a very infrequent event with imprecise developmental mechanism and is rarely reported in literature.
CASE PRESENTATION
We present a case of enormous and spontaneous chronic haematoma of the back, expanded from the lower thoracic area to the sacral area, in a young patient without any history of trauma or chronic coagulopathy.
CONCLUSION
The MRI scan is very useful in preoperative diagnosis, however only the histopathological examination is able to perform the differential diagnosis with soft tissue tumors. Careful surgical treatment is important to minimize the haematoma recurrence.
背景
慢性扩展性血肿（CEH）是一种非常罕见的情况，其发生机制尚不明确，在文献中鲜有报道。
病例介绍
我们报告一例年轻患者，其背部出现巨大的自发性慢性血肿，范围从下胸部延伸至骶部，该患者无任何外伤史或慢性凝血病史。
结论
MRI扫描对术前诊断非常有用，但只有组织病理学检查才能与软组织肿瘤进行鉴别诊断。谨慎的手术治疗对于最大限度减少血肿复发很重要。
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