隔离的卵巢囊破裂导致高能量的腹创伤后的血清膜:一个案例报告
Çağrı Akalın1, Mümin Demir1, Deha Denizhan Keskin2
1General Surgery, Ordu Training and Research Hospital, Ordu, TUR.
Cureus
|March 2, 2026
概括
由于的腹部创伤引起的大规模内出血 (血) 很少会来自卵巢囊破裂. 在没有固体器官损伤的情况下,应考虑生育年龄妇女的妇科来源.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 妇科外科手术 妇科外科
背景情况:
- 血管瘤后形腹部创伤通常涉及固体器官损伤 (肝脏,脏).
- 孤立的妇科出血源是罕见的,在初步评估中可能会错过.
研究的目的:
- 报告一种罕见的巨型血瘤病例,这种病例仅仅是由高能量创伤后的卵巢囊破裂引起的.
- 强调在特定的创伤场景中考虑妇科来源的重要性.
主要方法:
- 一个23岁的女性在摔倒后患有血液动力学不稳定的病例报告.
- 诊断成像 (未指明) 显示出没有固体器官损伤的血,以及骨盆骨折.
- 紧急探索性腹腔切除术,以识别和管理出血源.
主要成果:
- 巨大的血液被归因于破裂的12厘米卵巢囊作为出血的唯一来源.
- 没有发现固体器官或一般手术出血源.
- 通过局部接实现血静,保持卵巢外围膜;无事件的术后过程.
结论:
- 破裂的卵巢囊可能是高能量的腹创伤中血液皮质瘤的罕见但危及生命的原因.
- 在生育年龄的妇女中,当排除固体器官损伤时,妇科评估至关重要.
- 考虑到妇科和排除泌尿损伤,有助于在骨盆骨折中及时进行手术治疗.
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