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不同病因导致的腹膜后血肿:两例急诊病例的计算机断层扫描表现

Retroperitoneal hematoma by different causes: Presentation of two emergency cases at computed tomography.

作者信息

Messina Francesco, Calabrese Grazia, Tebala Carmela, Turano Lorena, Arcadi Nicola

机构信息

Unit of Radiology, Riuniti Hospital, Azienda Ospedaliera Grande Ospedale Metropolitano (G.O.M.) "Bianchi-Melacrino-Morelli", Via Giuseppe Melacrino n.21, Reggio 89124, Calabria, Italy.

出版信息

Radiol Case Rep. 2021 Jul 9;16(9):2551-2556. doi: 10.1016/j.radcr.2021.05.053. eCollection 2021 Sep.

DOI:10.1016/j.radcr.2021.05.053
PMID:34306286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8283137/
Abstract

Retroperitoneal hematoma is a rare clinical entity with variable aetiology, which is increasing in incidence mainly due to complications related to interventional procedures. The causes of RE are different. We present 2 suggestive cases of RE, one for renal cause and another of adrenal origin. Both came to our attention as a matter of urgency. Retroperitoneal hematoma, therefore, originated from different causes, with consequent different treatments. Both cases were diagnosed, as a matter of urgency, thanks to the use of contrast Computed Tomography, which allowed a rapid diagnosis, careful specialist evaluation, a monitoring of their clinical conditions, and a consequent adequate outcome for the patients.

摘要

腹膜后血肿是一种病因多样的罕见临床病症,其发病率上升主要归因于与介入操作相关的并发症。腹膜后血肿的病因各不相同。我们呈现2例提示性的腹膜后血肿病例,一例由肾脏病因引起,另一例源于肾上腺。两者均作为紧急情况引起了我们的注意。因此,腹膜后血肿起源于不同病因,相应地治疗方法也不同。由于使用了增强计算机断层扫描,这两例病例均得以紧急诊断,该检查能够实现快速诊断、仔细的专科评估、对其临床状况的监测,并最终为患者带来良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/a299dbb33d34/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/e8f9108ed46f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/ba86d9f65eea/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/cac2ccc957ea/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/dfe66fa8a2cd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/a299dbb33d34/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/e8f9108ed46f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/ba86d9f65eea/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/cac2ccc957ea/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/dfe66fa8a2cd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8283137/a299dbb33d34/gr5.jpg

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Practical approach to primary retroperitoneal masses in adults.成人原发性腹膜后肿块的实用处理方法。
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Spontaneous Massive Adrenal Hemorrhage: A Management Dilemma.自发性肾上腺大出血:治疗难题
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