Athey Richard, Barton Lorna L, Horgan Liam F, Wood Brian H
MRCP (UK) Specialist Registrar in General Medicine and Elderly Care. Departments of General Medicine and General Surgery. North Tyneside General Hospital. North Shields. Tyne & Wear. NE29 8NH.
Acute Med. 2006;5(1):21-3.
We present the case of a patient who presented with evidence of pneumonia, sepsis and anaemia but no significant abdominal signs. A routine abdominal ultrasound scan revealed evidence of spontaneous splenic rupture. He underwent splenectomy but passed away subsequently from respiratory complications. The many associations of spontaneous splenic rupture are discussed. The diagnosis should be considered in any patient presenting with shock and non-specific abdominal signs and in those with pre-existing conditions known to cause splenomegaly.
我们报告一例患者，该患者有肺炎、败血症和贫血的证据，但无明显腹部体征。常规腹部超声扫描显示有自发性脾破裂的迹象。他接受了脾切除术，但随后因呼吸并发症死亡。本文讨论了自发性脾破裂的多种关联情况。对于任何出现休克和非特异性腹部体征的患者以及那些有已知可导致脾肿大的既往疾病的患者，均应考虑作出该诊断。
