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一名肺炎患者突发腹痛,结果发现正常大小的脾脏发生了自发性破裂。

Sudden abdominal pain in a patient with pneumonia reveals spontaneous splenic rupture in normal sized spleen.

作者信息

Ibrahim Karine, Chalhoub Mariam, Rida Mohammad, Smayra Tarek

机构信息

Department of Radiology, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.

Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

Radiol Case Rep. 2024 Sep 24;19(12):6255-6258. doi: 10.1016/j.radcr.2024.08.128. eCollection 2024 Dec.

DOI:10.1016/j.radcr.2024.08.128
PMID:39387043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11461945/
Abstract

Splenic rupture is a life-threatening condition that is most frequently of traumatic etiology. Atraumatic or spontaneous splenic rupture is much rarer and less frequently reported. We present a case of an 84-year-old male patient initially hospitalized for pneumonia, who developed sudden abdominal pain and hemodynamic instability. Further investigations revealed a spontaneous splenic rupture. Histopathological examination postsplenectomy identified a splenic hamartoma, which had not been visualized on prior imaging studies.

摘要

脾破裂是一种危及生命的病症,最常见的病因是外伤。非外伤性或自发性脾破裂则更为罕见,报道也较少。我们报告一例84岁男性患者,最初因肺炎住院,之后出现突发腹痛和血流动力学不稳定。进一步检查发现是自发性脾破裂。脾切除术后的组织病理学检查发现了一个脾错构瘤,之前的影像学检查未发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/d1fa79190e02/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/c62da57b6187/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/91ebed41de03/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/f10b8ce09afd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/d1fa79190e02/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/c62da57b6187/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/91ebed41de03/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/f10b8ce09afd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11461945/d1fa79190e02/gr4.jpg

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