Fama' Fausto, Scibilia Giovanni, Ieni Antonio, Presti Dario Lo, Villari Alessandra, Gioffrè Florio Maria
Ann Ital Chir. 2015 Dec 23;86(ePub):S2239253X1502438X.
Atraumatic splenic rupture represents a life-threatening abdominal event that requires immediate diagnosis and prompt surgical treatment to ensure the survival of the patient. Atraumatic rupture is relatively uncommon and can occur either in pathological spleens or, more rarely, in normal ones. It has a high morbidity, frequently with few and non specific signs suggesting its presence, can be associated to other pathologies incidentally discovered by imaging. We present a case, successfully treated, of a 51-year-old man, previously healthy, that referred to our hospital for arterial hypertension and abdominal pain; the patient, for an idiopathic splenic rupture with haemoperitoneum, underwent an open splenectomy whose histology examination showed a normal spleen.
Atraumatic splenic rupture, Normal spleen, Spontaneos haemoperitoneum - Full text is available at: www.annaliitalianidichirurgia.it.
非创伤性脾破裂是一种危及生命的腹部急症，需要立即诊断并迅速进行手术治疗以确保患者存活。非创伤性破裂相对少见，可发生于病理性脾脏，更罕见的是发生于正常脾脏。其发病率高，常常仅有很少且非特异性的体征提示其存在，可能与影像学偶然发现的其他病变相关。我们报告一例成功治疗的病例，患者为一名51岁既往健康男性，因动脉高血压和腹痛前来我院就诊；该患者因特发性脾破裂伴腹腔积血接受了开放性脾切除术，组织学检查显示脾脏正常。
非创伤性脾破裂，正常脾脏，自发性腹腔积血 - 全文可在：www.annaliitalianidichirurgia.it获取。
