Department of Digestive Surgery, Nihon University School of Medicine, 30-1, Oyaguchikami-machi, Itabashi-ku, Tokyo, 173-8610, Japan.
Division of Emergency and Critical Care Medicine, Department of Acute Medicine, Nihon University School of Medicine, 30-1, Oyaguchikami-machi, Itabashi-ku, Tokyo, 173-8610, Japan.
BMC Surg. 2021 Oct 29;21(1):382. doi: 10.1186/s12893-021-01376-z.
To the best of our knowledge, splenic rupture caused by hit by a pitch (HBP) has not been previously reported. We present a patient who underwent emergency laparotomy for splenic rupture after being HBP during a baseball game.
A 41-year-old male was HBP in the left abdomen during his first at-bat during a baseball game. During the operation, vascular injury of the splenic hilum and a deeply extending parenchymal injury were observed, and splenectomy was performed. Histologic findings were consistent with splenic rupture.
The patient's postoperative course was uneventful. Although extremely rare, the possibility of intra-abdominal organ injury should be considered in batters who are hit in the abdomen by a pitched baseball, as illustrated by our patient.
据我们所知，投球击中脾脏导致破裂的情况以前尚未报道过。我们报告了一位患者，他在棒球比赛中被投球击中左腹部后，因脾脏破裂接受了紧急剖腹手术。
一名 41 岁男性在棒球比赛的第一次击球时被投球击中左腹部。术中观察到脾门血管损伤和深度延伸的实质损伤，并进行了脾切除术。组织学检查结果符合脾破裂。
患者术后恢复顺利。虽然极为罕见，但正如我们的患者所示，被投球击中腹部的击球手应考虑存在腹腔内器官损伤的可能性。
