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自发性腹膜后血肿会出现阴囊肿块吗?

Could spontaneous retroperitoneal haematoma present with scrotal mass?

机构信息

Department of Clinical Science, CRC (UMAS), University of Lund, Malmö, Sweden.

出版信息

Libyan J Med. 2009 Sep 1;4(3):117-9. doi: 10.4176/090306.

DOI:10.4176/090306
PMID:21483527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3066735/
Abstract

BACKGROUND

Retroperitoneal haematoma could be caused by different factors. It is increasing due to an increase in the use of antithrombotic and anticoagulant therapy. Diagnosis of retroperitoneal haematoma forms a big challenge in daily clinical practice. Patients with retroperitoneal haematoma could present with leg paresis, abdominal pain, shock or abdominal compartment syndrome. Retroperitoneal haematoma could be treated conservatively but surgical interference or embolization of the bleeding vessels is always an option.

OBJECTIVES

To present a case with spontaneous retroperitoneal haematoma presenting with scrotal haematoma together with a mini- review of retroperitoneal haematoma.

CONCLUSIONS

Retroperitoneal haematoma may present with a scrotal swelling and could be treated conservatively depending on the presentation and severity of the bleeding.

摘要

背景

腹膜后血肿可由多种因素引起。由于抗血栓和抗凝治疗的使用增加,腹膜后血肿的发病率也在增加。腹膜后血肿的诊断在日常临床实践中构成了巨大的挑战。腹膜后血肿患者可出现下肢瘫痪、腹痛、休克或腹腔间隔室综合征。腹膜后血肿可以保守治疗,但手术干预或出血血管栓塞始终是一种选择。

目的

介绍一例自发性腹膜后血肿合并阴囊血肿的病例,并对腹膜后血肿进行文献复习。

结论

腹膜后血肿可表现为阴囊肿胀,根据出血的表现和严重程度,可选择保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/f75bfc2d72a0/LJM-4-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/9848927db4fa/LJM-4-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/fd7cdc31f71a/LJM-4-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/479f35c9cecc/LJM-4-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/f75bfc2d72a0/LJM-4-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/9848927db4fa/LJM-4-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/fd7cdc31f71a/LJM-4-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/479f35c9cecc/LJM-4-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb46/3066735/f75bfc2d72a0/LJM-4-117-g004.jpg

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本文引用的文献

1
Groin swelling, the anatomic way out of abdominal haematomas: a case report and explicative literature review.腹股沟肿胀:腹部血肿的解剖学出路——一例报告及文献解读
Acta Chir Belg. 2008 Mar-Apr;108(2):251-3. doi: 10.1080/00015458.2008.11680214.
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Spontaneous retroperitoneal haematoma associated with clopidogrel therapy mimicking acute appendicitis.与氯吡格雷治疗相关的自发性腹膜后血肿酷似急性阑尾炎。
Br J Clin Pharmacol. 2006 Aug;62(2):248-9. doi: 10.1111/j.1365-2125.2006.02608.x.
3
Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature.
腹膜后出血后股神经病变:病例系列及文献综述
Ann Vasc Surg. 2006 Jul;20(4):536-40. doi: 10.1007/s10016-006-9059-2. Epub 2006 May 31.
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NEUROPATHY IN HEMOPHILIA.血友病中的神经病变
JAMA. 1964 Nov 9;190:554-5. doi: 10.1001/jama.1964.03070190074023.
5
The clinical spectrum of retroperitoneal hematoma in anticoagulated patients.抗凝治疗患者腹膜后血肿的临床谱
Medicine (Baltimore). 2003 Jul;82(4):257-62. doi: 10.1097/01.md.0000085059.63483.36.
6
Femoral nerve palsy secondary to traumatic iliacus muscle hematoma: course after nonoperative management.创伤性髂腰肌血肿继发股神经麻痹:非手术治疗后的病程
J Trauma. 1999 Dec;47(6):1150-2. doi: 10.1097/00005373-199912000-00031.