突发胁腹痛：一例肾上腺血管瘤破裂继发腹膜后出血的病例报告
Sudden onset flank pain: a case report of retroperitoneal hemorrhage secondary to a ruptured adrenal hemangioma.
作者信息
Peng Xufeng, Luo Wenqiang, Zhang Xinru, Zhu Weidong
机构信息
Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China,
Shanghai Eastern Urological Reconstruction and Repair Institute, Shanghai, China,
出版信息
J Pain Res. 2018 Jul 31;11:1421-1424. doi: 10.2147/JPR.S160661. eCollection 2018.
BACKGROUND
Acute abdominal pain is a common complaint of patients presenting at the emergency department (ED). It can be caused by a broad spectrum of diseases. Providing care for patients with acute abdominal pain requires familiarity with the epidemiology, prevalence, and presentation of abdominal pathology, as well as a working knowledge of the differential diagnoses.
CASE REPORT
In this article, we discuss a case of spontaneous rupture of adrenal hemangioma with large retroperitoneal hemorrhage in a 31-year-old female.
DISCUSSION
Emergency physicians regularly encounter uncommon causes of abdominal pain. Spontaneous rupture of adrenal hemangioma is an extremely rare cause of abdominal pain, but proper understanding of the disease process will aid clinicians to make a final diagnosis and ensure appropriate treatment. In this study, presentations and risk factors for spontaneous, atraumatic rupture of adrenal hemangioma as well as ED management and definitive treatment options are discussed.
背景
急性腹痛是急诊科患者的常见主诉。它可能由多种疾病引起。为急性腹痛患者提供护理需要熟悉腹部病理学的流行病学、患病率和表现，以及鉴别诊断的实用知识。
病例报告
在本文中，我们讨论了一名31岁女性肾上腺血管瘤自发破裂并伴有大量腹膜后出血的病例。
讨论
急诊医生经常会遇到腹痛的罕见病因。肾上腺血管瘤自发破裂是腹痛的极其罕见病因，但正确了解疾病过程将有助于临床医生做出最终诊断并确保适当治疗。在本研究中，讨论了肾上腺血管瘤自发、无创伤性破裂的表现和危险因素以及急诊科的管理和确定性治疗选择。
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