Bhan Pankaj, Al-Hilli Shatha
Hamad Medical Corporation, Radiology Department, Doha, Qatar.
Pol J Radiol. 2010 Jan;75(1):81-3.
Spontaneous rupture of spleen due to factor XIII defieciency is a rare cause of abdominal pain with disastrous consequences and can be easily confused with other abdominal pathologies until a strong possibility is entertained.The patients usually present in emergengy with acute abdomen and diagnosis is difficult.The diagnosis is usually made on high degree of clinical suspicion and falling hematorit and failure of conservative management or by imaging. The radiologist need to be aware of this potentially fatal complication since early intervention is life saving. CT imaging can also help in conservative management in non critical patients.
由于因子 XIII 缺乏导致的脾脏自发性破裂是腹痛的罕见原因,会带来灾难性后果,在没有充分考虑到这种可能性之前,很容易与其他腹部病变相混淆。患者通常因急腹症急诊就诊,诊断困难。诊断通常基于高度的临床怀疑、血细胞比容下降以及保守治疗无效或通过影像学检查。放射科医生需要意识到这种潜在的致命并发症,因为早期干预可挽救生命。CT 成像也有助于非重症患者的保守治疗。