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钝性创伤后肋间动脉出血导致巨大腹膜后血肿:一例报告。

Massive retroperitoneal hematoma caused by intercostal artery bleeding after blunt trauma: a case report.

机构信息

Department of Intensive Care Medicine, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.

出版信息

J Cardiothorac Surg. 2024 Apr 18;19(1):248. doi: 10.1186/s13019-024-02739-2.

DOI:10.1186/s13019-024-02739-2
PMID:38632604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11025240/
Abstract

BACKGROUND

The occurrence of massive retroperitoneal hematoma caused by intercostal artery bleeding is exceedingly uncommon.

CASE PRESENTATION

A middle-aged male presented to the hospital after a fall. Computed tomography scan revealed a massive retroperitoneal hematoma without any evidence of organ or major vessel rupture. The angiogram revealed extravasation from a branch of the twelfth intercostal artery, and successful transcatheter arterial embolization was performed on this specific artery.

CONCLUSIONS

The possibility of intercostal artery rupture should be considered in cases of retroperitoneal hematomas, and accurate diagnosis can be achieved through imaging studies. Transcatheter arterial embolization represents an effective treatment modality.

摘要

背景

由肋间动脉出血引起的巨大腹膜后血肿极为罕见。

病例介绍

一名中年男性摔倒后到医院就诊。计算机断层扫描显示巨大腹膜后血肿,无器官或大血管破裂的证据。血管造影显示第十二肋间动脉分支有外渗,对该特定动脉进行了成功的经导管动脉栓塞。

结论

对于腹膜后血肿,应考虑肋间动脉破裂的可能性,通过影像学检查可做出准确诊断。经导管动脉栓塞是一种有效的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7879/11025240/0e1088ebbc06/13019_2024_2739_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7879/11025240/f3cf6de6a318/13019_2024_2739_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7879/11025240/0e1088ebbc06/13019_2024_2739_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7879/11025240/f3cf6de6a318/13019_2024_2739_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7879/11025240/0e1088ebbc06/13019_2024_2739_Fig2_HTML.jpg

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Expert Rev Hematol. 2020 May;13(5):545-555. doi: 10.1080/17474086.2020.1733963. Epub 2020 Mar 3.
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Managing retroperitoneal hematoma: Associated complexities and its challenges.处理腹膜后血肿:相关的复杂性及其挑战。
Am J Emerg Med. 2020 Sep;38(9):1957-1958. doi: 10.1016/j.ajem.2020.02.003. Epub 2020 Feb 5.
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Hemoperitoneum secondary to intercostal arterial bleeding in a trauma patient.
一名创伤患者因肋间动脉出血导致腹腔积血。
J Surg Case Rep. 2017 Jan 19;2017(1):rjw194. doi: 10.1093/jscr/rjw194.
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Lateral abdominal wall hematoma due to blunt intercostal arterial injury in a patient with serious comorbidities.一名患有严重合并症的患者因钝性肋间动脉损伤导致侧腹壁血肿。
J Emerg Med. 2014 Nov;47(5):e125-7. doi: 10.1016/j.jemermed.2014.06.043. Epub 2014 Sep 12.
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Repeated embolization of intercostal arteries after blunt chest injury.钝性胸部损伤后肋间动脉的反复栓塞
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