急性阑尾炎行腹腔镜阑尾切除术后1周出现自发性脾破裂。
Spontaneous splenic rupture 1 week after laparoscopic appendectomy due to acute appendicitis.
作者信息
Janez Jurij
机构信息
Department of Abdominal Surgery, University Medical Centre Ljubljana; Department of Surgery, Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1104 Ljubljana, Slovenia.
出版信息
J Minim Access Surg. 2020 Jul-Sep;16(3):269-270. doi: 10.4103/jmas.JMAS_1_20.
Spontaneous splenic rupture is a rare entity that requires high index of suspicion for diagnosis. Usually, it occurs due to underlying pathology that could be inflammatory, neoplastic or infectious. However, there are also cases of spontaneous splenic rupture in a normal-sized spleen without obvious pathologic process. In our case, the patient suffered a spontaneous splenic rupture 1 week after laparoscopic appendectomy due to acute appendicitis. Histopathologic examination revealed a normal-sized spleen without any obvious pathology. In our patient, we did not found any explanation for a spontaneous splenic rupture, besides her primary inflammatory condition.
自发性脾破裂是一种罕见的病症，诊断时需要高度怀疑。通常，它是由潜在的病理状况引起的，这些病理状况可能是炎症性、肿瘤性或感染性的。然而，也有一些正常大小脾脏发生自发性脾破裂的病例，且没有明显的病理过程。在我们的病例中，患者因急性阑尾炎接受腹腔镜阑尾切除术后1周发生了自发性脾破裂。组织病理学检查显示脾脏大小正常，没有任何明显的病理改变。在我们的患者中，除了她的原发性炎症状况外，我们没有找到自发性脾破裂的任何原因。
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