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脾脏异位妊娠导致自发性脾破裂病例。

Case of spontaneous splenic rupture caused by ectopic pregnancy in the spleen.

作者信息

Wu Bao-Qiang, Zhu Feng, Jiang Yong, Sun Dong-Lin

机构信息

Department of Hepatobiliary Surgery, First People's Hospital of Changzhou, Changzhou, China.

出版信息

J Obstet Gynaecol Res. 2017 Nov;43(11):1778-1780. doi: 10.1111/jog.13440. Epub 2017 Aug 1.

Abstract

Splenic ectopic pregnancy refers to the implantation of the oosperm in the spleen. If not diagnosed early, the results of this phenomenon would almost certainly be splenic rupture, which is equivalent to the spontaneous rupture of the spleen. If the patient has no history of trauma, it is difficult to diagnose this condition early and an explicit diagnosis is often obtained by exploratory laparotomy. We report the case of a 27-year-old woman who was admitted to the hospital due to abdominal pain and hemorrhagic shock. Under emergency general anesthesia, gynecologist and hepatobiliary surgeons worked together to conduct an exploratory laparotomy. It was confirmed during surgery that this was ectopic pregnancy in the spleen, which caused rupture of the spleen. Hence, splenectomy was conducted. Postoperative recovery was good.

摘要

脾异位妊娠是指受精卵在脾脏着床。如果不及早诊断,这种情况的结果几乎肯定是脾破裂,这等同于脾脏自发性破裂。如果患者没有外伤史,很难早期诊断这种病症,往往要通过剖腹探查术才能明确诊断。我们报告一例27岁女性患者,因腹痛和失血性休克入院。在急诊全身麻醉下,妇科医生和肝胆外科医生共同进行了剖腹探查术。术中证实这是一例脾脏异位妊娠,导致了脾破裂。因此,实施了脾切除术。术后恢复良好。

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