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可卡因滥用后发生的非创伤性脾破裂和回肠扭转。

Atraumatic splenic rupture and ileal volvulus following cocaine abuse.

作者信息

Ballard David H, Smith J Patrick, Samra Navdeep S

机构信息

Department of Surgery, Louisiana State University Health-Shreveport, Louisiana.

Department of Surgery, Louisiana State University Health-Shreveport, Louisiana.

出版信息

Clin Imaging. 2015 Nov-Dec;39(6):1112-4. doi: 10.1016/j.clinimag.2015.06.012. Epub 2015 Jul 17.

DOI:10.1016/j.clinimag.2015.06.012
PMID:26324218
Abstract

We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.

摘要

我们报告一例38岁男性病例，该患者在急性可卡因中毒后出现非创伤性脾破裂、腹腔积血和回肠扭转。计算机断层扫描显示有“漩涡征”、疑似周边撕裂的脾包膜下血肿以及弥漫性腹腔积血。剖腹手术时，证实脾脏是出血源并将其切除。在回肠末端发现不可复位的扭转，该段小肠被切除。患者术后恢复顺利。

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