关键词: acute abdomen case report contrast CT idiopathic omental hemorrhage laparotomy omentectomy

来  源:   DOI:10.1093/jscr/rjad380   PDF(Pubmed)

Abstract:
Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life threatening. Here, we report a case of a 34-year-old male who presented to the emergency department with sudden, severe pain abdomen and abdominal distension for 1 day. There was no history of trauma, abdominal surgeries or any significant past medical history. The diagnosis was suspected on contrast computed tomography, which revealed hyperdense areas of blood in the peritoneal cavity with contrast extravasation from the omentum. The patient underwent successful emergency laparotomy, peritoneal lavage and greater omentectomy to achieve hemostasis.
摘要:
特发性网膜出血是急腹症的罕见原因,这可能会危及生命。这里,我们报告了一个34岁的男性,他突然出现在急诊科,剧烈腹痛和腹胀1天。没有外伤史,腹部手术或任何重要的既往病史。造影计算机断层扫描怀疑诊断,显示腹膜腔中血液的高密度区域,并从网膜中渗出造影剂。病人接受了成功的紧急剖腹手术,腹腔灌洗和大网膜切除术以实现止血。
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