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胰十二指肠下动脉破裂导致的腹部卒中:一例罕见的急腹症病例。

Abdominal apoplexy due to rupture of inferior pancreaticoduodenal artery: A rare case of acute abdomen.

作者信息

Zeinalpour Adel, Aghili Amirhossein, Gholizadeh Barmak

机构信息

Department of General Surgery , Shahid Beheshti University of Medical Sciences , Tehran , Iran.

出版信息

Caspian J Intern Med. 2021;12(Suppl 2):S479-S481. doi: 10.22088/cjim.12.0.479.

DOI:10.22088/cjim.12.0.479
PMID:34760110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8559655/
Abstract

BACKGROUND

Abdominal apoplexy is one of the rare causes of non-traumatic intra-abdominal bleeding. This condition is usually seen in male patients in their 50s with history of hypertension. As soon as abdominal apoplexy is suspected, immediate resuscitation should be performed followed by emergent surgery. The patient's outcome depends entirely on the clinical condition and the time interval between diagnosis and treatment.

CASE PRESENTATION

Herein we present a 63-year-old man with idiopathic spontaneous intraperitoneal hemorrhage (ISIH) caused by spontaneous rupture of non-aneurysmal inferior pancreaticoduodenalartery (IPDA).

CONCLUSION

In this report, a case of abdominal apoplexy has been presented caused by spontaneous rupture of non-aneurysmal inferior pancreaticoduodenalartery (IPDA) in a patient without any significant past medical history.

摘要

背景

腹部卒中是非创伤性腹腔内出血的罕见原因之一。这种情况通常见于50多岁有高血压病史的男性患者。一旦怀疑腹部卒中,应立即进行复苏,随后进行急诊手术。患者的预后完全取决于临床状况以及诊断与治疗之间的时间间隔。

病例介绍

在此,我们报告一名63岁男性,因非动脉瘤性胰十二指肠下动脉(IPDA)自发性破裂导致特发性自发性腹腔内出血(ISIH)。

结论

在本报告中,呈现了一例无任何重大既往病史的患者因非动脉瘤性胰十二指肠下动脉(IPDA)自发性破裂导致腹部卒中的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e29/8559655/91774e12bd4b/cjim-12-479-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e29/8559655/f651b1842c64/cjim-12-479-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e29/8559655/91774e12bd4b/cjim-12-479-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e29/8559655/f651b1842c64/cjim-12-479-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e29/8559655/91774e12bd4b/cjim-12-479-g002.jpg

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本文引用的文献

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Cureus. 2019 Jun 18;11(6):e4937. doi: 10.7759/cureus.4937.
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Spontaneous omental bleeding: a case report and literature review.自发性网膜出血:一例病例报告及文献综述
BMC Surg. 2018 May 30;18(1):33. doi: 10.1186/s12893-018-0364-9.
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Spontaneous Intraperitoneal Hemorrhage (SIPH): A New Differential Diagnosis for Complications Due to Protracted Vomiting.自发性腹腔内出血(SIPH):持续性呕吐并发症的一种新的鉴别诊断
Conn Med. 2016 Sep;80(8):471-473.
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Medicine (Baltimore). 2017 Oct;96(43):e8264. doi: 10.1097/MD.0000000000008264.
5
Idiopathic spontaneous lesser sac haematoma: a perplexing case of abdominal apoplexy.特发性自发性小网膜囊血肿:一例令人困惑的腹部卒中病例。
BMJ Case Rep. 2017 Aug 18;2017:bcr-2017-220465. doi: 10.1136/bcr-2017-220465.
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A case of abdominal apoplexy because of the rupture of the short gastric vessel.一例因胃短血管破裂导致的腹部卒中。
J Surg Case Rep. 2015 Mar 10;2015(3):rjv014. doi: 10.1093/jscr/rjv014.
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Radiological diagnosis and management of idiopathic spontaneous intra-abdominal haemorrhage (abdominal apoplexy): a case series.特发性自发性腹腔内出血(腹腔卒中)的放射学诊断与处理:病例系列
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