已发表论文

突然发作的侧腹疼痛: 继发于肾上腺血管瘤破裂的腹膜后出血的病例报告

 

Authors Peng X, Luo W, Zhang X, Zhu W

Received 22 December 2017

Accepted for publication 21 April 2018

Published 31 July 2018 Volume 2018:11 Pages 1421—1424

DOI https://doi.org/10.2147/JPR.S160661

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Katherine Hanlon

Background: Acute abdominal pain is a common complaint of patients presenting at the emergency department (ED). It can be caused by a broad spectrum of diseases. Providing care for patients with acute abdominal pain requires familiarity with the epidemiology, prevalence, and presentation of abdominal pathology, as well as a working knowledge of the differential diagnoses. 
Case report: In this article, we discuss a case of spontaneous rupture of adrenal hemangioma with large retroperitoneal hemorrhage in a 31-year-old female.
Discussion: Emergency physicians regularly encounter uncommon causes of abdominal pain. Spontaneous rupture of adrenal hemangioma is an extremely rare cause of abdominal pain, but proper understanding of the disease process will aid clinicians to make a final diagnosis and ensure appropriate treatment. In this study, presentations and risk factors for spontaneous, atraumatic rupture of adrenal hemangioma as well as ED management and definitive treatment options are discussed.
Keywords: retroperitoneal hemorrhage, flank pain, adrenal hemangioma, spontaneous rupture




Figure 1 Abdominal computed tomographic scan revealing a large, right-sided retroperitoneal mass (red arrow).