巨大腹直肌鞘血肿
Giant rectus sheath hematoma.
作者信息
Bello Gabriela, Blanco Pablo
机构信息
Intensive Care Unit, Hospital Central de las Fuerzas Armadas (DNSFFAA), 3060, 8 de Octubre Ave., 11600, Montevideo, Uruguay.
Intensive Care Unit, Clínica Cruz Azul, 2651, 60 St., Necochea, 7630, Argentina.
出版信息
Ultrasound J. 2019 Jun 18;11(1):13. doi: 10.1186/s13089-019-0129-4.
BACKGROUND
Rectus sheath hematoma (RSH) is an uncommon entity associated with predisposing factors such as anticoagulation. It may mimic more frequent abdominal conditions and its accurate diagnosis is important to focus on the correct treatments and improve morbidity and mortality.
CASE PRESENTATION
An elderly patient with shock, abdominal pain, palpable abdominal mass, and anemia was suspected of having a large RSH by point-of-care ultrasound (POCUS), which was then confirmed by computed tomography. Surgery was performed, markedly improving his clinical status.
CONCLUSIONS
POCUS has a good sensitivity for the diagnosis of RSH and it is also an excellent tool for patient follow-up.
背景
腹直肌鞘血肿（RSH）是一种罕见的病症，与抗凝等诱发因素相关。它可能类似更常见的腹部疾病，准确诊断对于确定正确的治疗方法以及降低发病率和死亡率至关重要。
病例报告
一名老年患者出现休克、腹痛、可触及的腹部肿块和贫血症状，床旁超声（POCUS）检查怀疑其患有巨大腹直肌鞘血肿，随后计算机断层扫描予以确诊。患者接受了手术治疗，临床状况明显改善。
结论
床旁超声对腹直肌鞘血肿的诊断具有良好的敏感性，也是患者随访的极佳工具。
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