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首页> 外文期刊>The American journal of emergency medicine >Laparoscopic management for spontaneous rupture of left gastroepiploic vessel after forceful retching
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Laparoscopic management for spontaneous rupture of left gastroepiploic vessel after forceful retching

机译:腹腔镜处理强行退缩后左胃上皮血管自发性破裂

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摘要

Spontaneous rupture of the left gastroepiploic vessel causing abdominal apoplexy or spontaneous hemoperitoneum is extremely rare. Such ambiguous condition can delay diagnosis, resulting in hypo-volemic shock. Reporting such rare cases is valuable to clinicians. Here, we report a 19-year-old man who initially presented left upper quadrant pain and diaphoresis followed by vomiting after ingesting alcohol. He was diagnosed with diffuse hemoperitoneum and large amount of hematoma in left side of lesser sac due to spontaneous rupture of left gastroepiploic vessel. The patient underwent emergency exploratory laparoscopy. Bleeding was controlled by clipping the teared vessel.
机译:引起胃中风或自发性腹膜炎的左胃上皮血管自发性破裂极为罕见。这种模棱两可的状况会延迟诊断,导致低血容量性休克。报告这种罕见的病例对临床医生来说很有价值。在这里,我们报道了一个19岁的男性,最初出现左上腹疼痛和发汗,然后在饮酒后呕吐。由于左胃上皮血管自发性破裂,他被诊断出腹膜弥漫性腹膜和小囊左侧大量血肿。该患者接受了紧急探索性腹腔镜检查。通过修剪撕裂的血管来控制出血。

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