General Surgery, Tan Tock Seng Hospital, Singapore
General Surgery, Tan Tock Seng Hospital, Singapore.
BMJ Case Rep. 2022 Dec 2;15(12):e250695. doi: 10.1136/bcr-2022-250695.
Spontaneous haemoperitoneum is a rare condition with a variety of aetiologies. Regardless of the cause, it is invariably a life-threatening condition that requires urgent diagnosis and management. The most common causes of spontaneous haemoperitoneum include gynaecological, hepatic, splenic and vascular causes. However, here, we present a rare case of spontaneous haemoperitoneum secondary to idiopathic omental venous malformation.Our patient presented with acute onset of right iliac fossa pain, and a CT scan revealed a massive haemoperitoneum. A laparoscopic converted to open laparotomy was performed to diagnose and treat the patient. We discuss the management approach for such patients with spontaneous haemoperitoneum.
自发性血腹是一种罕见的病症,有多种病因。无论病因如何,它总是一种危及生命的病症,需要紧急诊断和治疗。自发性血腹最常见的原因包括妇科、肝脏、脾脏和血管原因。然而,在这里,我们报告了一例罕见的自发性血腹继发于特发性网膜静脉畸形。患者表现为右髂窝疼痛急性发作,CT 扫描显示大量血腹。为了诊断和治疗患者,进行了腹腔镜转为开腹手术。我们讨论了此类自发性血腹患者的处理方法。