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以脾破裂伴腹腔积血为表现的脾紫癜症——病例报告

Peliosis of spleen presenting as splenic rupture with haemoperitoneum--a case report.

作者信息

Rege J D, Kavishwar V S, Mopkar P S

机构信息

Topiwala National Medical College, B.Y.L. Nair Hospital, Mumbai Central.

出版信息

Indian J Pathol Microbiol. 1998 Oct;41(4):465-7.

PMID:9866910
Abstract

Peliosis of spleen is usually associated with peliosis of liver. Oval to round markedly dilated blood filled cystic spaces predominantly in parafollicular area is the characteristic feature of peliosis to differentiate it from congested sinuses. Exposure to viruses chemicals, contraceptive steroids or chronic debilitating disorders including malignancies are the various possible etiological factors. Though peliosis may remain asymptomatic, fatal intraperitoneal haemorrhage may occur due to its rupture. We report a case of peliosis of spleen presenting as splenic rupture with haemoperitoneum.

摘要

脾紫癜通常与肝紫癜相关。椭圆形至圆形、明显扩张的充满血液的囊性间隙主要位于滤泡旁区域,是紫癜的特征性表现,可将其与充血性窦状隙相鉴别。接触病毒、化学物质、避孕类固醇或包括恶性肿瘤在内的慢性衰弱性疾病是各种可能的病因。尽管紫癜可能无症状,但由于其破裂可能会发生致命的腹腔内出血。我们报告一例脾紫癜表现为脾破裂伴腹腔积血的病例。

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