特発性大網出血の1例 [in Japanese] A CASE OF IDIOPATHIC OMENTAL HEMORRHAGE [in Japanese]
Access this Article
Search this Article
A 20-year-old man was admitted to our hospital suffering from abdominal pain, diarrhea, and vomiting. On admission, he looked pale and the epigastrium was tender on pressure. Laboratory tests revealed leucocytosis and anemia. The abdomen of the patient gradually distended after admission. Abdominal CT showed a large amount of intraperitoneal fluid, and a high density mass between the greater curvature of the stomach and the spleen. An emergency operation was carried out 4 hours after admission under the diagnosis of hemoperitoneum. After removing 2, 400ml of hemorrhagic ascites, a hematoma measuring 5×4×4cm was found lying in the greater omentum adjacent to the greater curvature of the stomach. Partial omentectomy including the hematoma and partial gastrectomy were performed. The patient had an uneventful postoperative recovery, and he was discharged from the hospital on the 13<sup>th</sup> postoperative day. Histopathological examination of the resected specimen revealed hematoma surrounded by collagenous granulation tissue, and no tumor or vascular lesion was detected. The patient had no history of trauma, anticoagulant therapy or vascular disease, so he was diagnosed as idiopathic omental hemorrhage.
- The journal of the Japanese Practical Surgeon Society
The journal of the Japanese Practical Surgeon Society 66(9), 2301-2305, 2005-09-25
Japan Surgical Association