Pathogenesis and management of abdominal wall hematomas.
Pathogenesis and management of abdominal wall hematomas.
复制标题
腹壁血肿的发病机制和治疗。
作者：
J. Henzel;W. Pories;J. L. Smith;D. Burget;F. R. Plecha
腹壁深血管突然破裂可导致腹壁血肿，根据其位置和大小，可产生与各种急性腹内疾病相一致的症状和临床表现。这种血肿被古代的医生所认识，是一种不寻常的、不常见的临床症状，在这种情况下，早期准确的诊断可以减轻惊恐的、通常明显不舒服的病人的焦虑。不幸的是，直肌血肿的临床表现有时是如此戏剧性，以致于剖腹手术认为腹内病理存在。在过去，几乎所有的病例报告和集体回顾都列举了突发性意外创伤、肌肉组织衰弱或病变以及特发性病因作为直肌血肿的潜在原因。本报告描述了三个病因不同的病例，其目的不仅是回顾这一有趣的临床实体的历史、解剖、易感原因、诊断和治疗，
SUDDEN disruption of a deep epigastric vessel may result in an abdominal wall hematoma which, depending on its location and size, can produce symptoms and clinical findings compatible with a variety of acute intraabdominal conditions. Recognized by the physicians of antiquity, such hematomas are an example of an unusual, infrequently encountered clinical entity in which early accurate diagnosis can alleviate anxiety in an alarmed and often markedly uncomfortable patient. Unfortunately, the clinical manifestations of rectus muscle hematoma are sometimes so dramatic that laparotomy is performed believing that intraabdominal pathology is present. In the past almost all case reports and collective reviews have enumerated sudden unexpected trauma, weakened or diseased musculature, and idiopathic etiology as the underlying causes of rectus muscle hematomas. The purpose of this report, which describes three etiologically different cases, is not only to review the history, anatomy, predisposing causes, diagnosis, and treatment of this interesting clinical entity,