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因胃短动脉破裂导致的特发性自发性腹腔内出血表现为大量胃肠道出血：1例罕见病例报告及文献复习

Idiopathic Spontaneous Intraperitoneal Hemorrhage due to Rupture of Short Gastric Artery Presenting as Massive Gastrointestinal Bleeding: A Rare Case Presentation and Literature Review.

作者信息

Saeed Yasir, Farkas Zahava, Azeez Sulaiman

机构信息

Internal Medicine, Lincoln Medical and Mental Health Center, New York, USA.

Gastroenterology and Hepatology, Westchester Medical Center, New York, USA.

出版信息

Cureus. 2020 Nov 16;12(11):e11499. doi: 10.7759/cureus.11499.

DOI:10.7759/cureus.11499
PMID:33354445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7744231/
Abstract

Idiopathic spontaneous intraperitoneal hemorrhage (ISIH) or abdominal apoplexy is due to the tear of an intra-abdominal visceral vessel spontaneously where no cause can be identified. It is an uncommon but potentially life-threatening condition that generally shows up as a diagnostic dilemma as well as is related to formidable mortality. Among all the reported cases, the extemporaneous tear of short gastric arteries is extremely rare, but it has never been reported to present with massive gastrointestinal bleeding. We report a rare instance of idiopathic spontaneous intraperitoneal hematoma eroding the stomach wall, causing massive gastrointestinal bleeding.

摘要

特发性自发性腹腔内出血（ISIH）或腹腔卒中是指腹腔内脏血管自发性撕裂且无法明确病因。这是一种罕见但可能危及生命的疾病，通常表现为诊断难题，且死亡率较高。在所有已报道的病例中，胃短动脉的自发性撕裂极为罕见，但从未有过导致大量胃肠道出血的报道。我们报告了一例罕见的特发性自发性腹腔内血肿侵蚀胃壁并导致大量胃肠道出血的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/fc200618cb76/cureus-0012-00000011499-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/00e39e7c1a23/cureus-0012-00000011499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/34dc7660dbd3/cureus-0012-00000011499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/8fc3aa12b568/cureus-0012-00000011499-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/fc200618cb76/cureus-0012-00000011499-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/00e39e7c1a23/cureus-0012-00000011499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/34dc7660dbd3/cureus-0012-00000011499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/8fc3aa12b568/cureus-0012-00000011499-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b20/7744231/fc200618cb76/cureus-0012-00000011499-i04.jpg

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引用本文的文献

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Cureus. 2023 Sep 8;15(9):e44879. doi: 10.7759/cureus.44879. eCollection 2023 Sep.
2
Point-of-care ultrasound-assisted diagnosis of gastric vessel rupture in a young man presenting with chest pain: A cautionary tale.即时超声辅助诊断一名胸痛青年男性的胃血管破裂：一则警示故事。
Australas J Ultrasound Med. 2023 Mar 5;26(2):115-117. doi: 10.1002/ajum.12338. eCollection 2023 May.
3
Idiopathic Spontaneous Intraperitoneal Hemorrhage Due to Vascular Malformations in the Muscularis of the Stomach: A Case Report.

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Laparoscopic Management of Abdominal Apoplexy.腹腔镜治疗腹部卒中
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