Spontaneous Lesser Omental Bleeding: A Case Report

自發性小網膜出血是罕見的外科急症。我們報告一位二十一歲男性，有葡萄糖六磷酸鹽脫氫酶缺乏症，因為突發性的上腹痛合併噁心、嘔吐，來到本院急診室就診。此症狀是在吃完火鍋一小時後發生，他否認最近有創傷或嚴重咳嗽的病史。來到本院急診室後，疼痛後來轉移到下腹部。經超音波導引下，從下腹部腹水穿刺，發現有血狀的腹水。腹部電腦斷層掃瞄發現有腹膜積血和左上腹的血腫塊，緊急剖腹探查發現，腹腔內有800 cc的鮮血。最後發現出血點在小網膜，且網膜表面有類似鵝卵石的形狀，診斷為自發性的小網膜出血。病患術後復原情況良好且追蹤七個月後仍無症狀。

關鍵字

網膜出血；腹水；腹膜積血

並列摘要

Spontaneous omental bleeding is a rare acute abdominal surgical condition. We report on a case of spontaneous lesser omental bleeding in a 21-year-old man with G6PD deficiency. He visited our Emergency Department due to sudden-onset epigastric pain, and nausea and vomiting one hour after eating hot-pot. He denied any recent abdominal trauma or severe coughing. The pain had migrated to the lower abdomen when he was seen in our Emergency Department. Sono-guided aspiration from the suprapubic region revealed bloody ascites. A computed tomography scan showed hemoperitoneum and hematoma in the left upper abdomen. Emergent laparotomy disclosed 800 ml blood in the abdomen with lesser omental bleeding and cobblestone-like appearance of the omentum surface. The patient recovered uneventfully and remained symptom-free for 7 months.

並列關鍵字

omental bleeding ； ascites ； hemoperitoneum

國際替代計量

Spontaneous Lesser Omental Bleeding: A Case Report

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