特発性大網出血の1例 [in Japanese] A CASE OF IDIOPATHIC OMENTAL BLEEDING [in Japanese]
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A 30-year-old man was brought to a nearby hospital for right lower abdominal pain, but was then transported to our emergency center due to severe symptoms. A contrast-enhanced computed tomography (CT) examination showed peritoneal effusion and a mass at the cecum on admission. Peritonitis due to acute appendicitis was dignosed, and an emergency operation was carried out. On laparotomy, the abdomen was found to be filled with 800ml of hemorrhagic ascites. A hematoma 3cm in diameter was found lying in the omental bursa. A partial omentectomy was then undertaken. The postoperative course was uneventful and the man was discharged on postoperative day 11. Post operative histopathological examination of the resected omentum revealed many hemorrhaging lesions and no thrombi in the arteries, so this case was diagnosed as idiopathic omental bleeding.
- The journal of the Japanese Practical Surgeon Society
The journal of the Japanese Practical Surgeon Society 67(8), 1921-1925, 2006-08-25
Japan Surgical Association