自发性脾破裂：一种罕见的危及生命的病症；早期诊断并成功治疗。
Spontaneous splenic rupture: A rare life-threatening condition; Diagnosed early and managed successfully.
作者信息
Weaver Helen, Kumar Vishal, Spencer Kate, Maatouk Mohamed, Malik Sohail
机构信息
Department of Upper GI Surgery, Weston General Hospital, Weston-super-Mare, U.K.
出版信息
Am J Case Rep. 2013;14:13-5. doi: 10.12659/AJCR.883739. Epub 2013 Jan 15.
BACKGROUND
Splenic rupture is a potentially life-threatening condition, often associated with chest or abdominal trauma. Spontaneous rupture is very rare and is usually reported as being secondary to underlying pathological conditions.
CASE REPORT
We discuss the case of a 56 year old man who presented with sudden onset left-sided abdominal pain, with no history of trauma.
CONCLUSIONS
A computed tomography (CT) of the abdomen revealed a ruptured spleen with free fluid in the abdomen. Conservative management was ineffective and the patient underwent laparotomy and splenectomy, followed by routine post-splenectomy management. He was discharged home and remains well.
背景
脾破裂是一种可能危及生命的状况，常与胸部或腹部创伤相关。自发性脾破裂非常罕见，通常报道为继发于潜在的病理状况。
病例报告
我们讨论一名56岁男性的病例，该患者突发左侧腹痛，无创伤史。
结论
腹部计算机断层扫描（CT）显示脾脏破裂，腹腔内有游离液体。保守治疗无效，患者接受了剖腹探查术和脾切除术，随后进行常规的脾切除术后管理。他出院回家，目前情况良好。
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