- 期刊
Hemoperitoneum Caused by Ruptured Splenic Angiosarcoma: A Case Report
脾臟的血管肉瘤破裂造成腹腔積血：病例報告
摘要
原發性脾臟的血管肉瘤是預後很差的罕見惡性腫瘤。一般平均存活小於兩年，甚至在自發性脾臟的血管肉瘤破裂之病人，則小於六個月。本病例闡述一因脾臟的血管肉瘤破裂造成腹腔積血的個案。一名五十八歲女性因急性腹痛和血壓不穩至急診就醫。腹部電腦斷層顯示脾臟腫瘤合併腹腔積血。執行緊急的經動脈的栓塞治療以穩定血壓，隨後進行脾臟切除。病理確定診斷為原發性脾臟的血管肉瘤。因此，自發性脾臟破裂必需列為急性腹痛的鑑別診斷。
並列摘要
Primary splenic angiosarcoma is a rare malignancy with a disastrous outcome. The mean survival is less than 2 years and even less than 6 months in patients with spontaneous rupture of splenic angiosarcoma. We demonstrate a case of hemoperitoneum caused by ruptured splenic angiosarcoma. A 58-year-old female presented to emergency department with acute abdominal pain and unstable hemodynamics. Computed tomography of abdomen revealed ruptured splenic tumor with hemoperitoneum. Emergent transarterial embolization was performed and latter she undergone splenectomy. Primary splenic angiosarcoma was pathologically diagnosed. Therefore, spontaneous splenic tumor rupture must be included among the differential diagnosis of acute abdominal pain.
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