A case of spontaneous splenic rupture in a patient on maintenance hemodialysis(HD).
スポンサーリンク
概要
- 論文の詳細を見る
A case of spontaneous splenic rupture in a patient on HD is reported. A 49-year-old man with chronic glomerulonephritis started HD in August, 1991. In September, 1993, he complained of intermittent left upper abdominal pain. However, no abnormalities were found on abdominal ultrasonography, gastrointestinal endoscopy or electrocardiography. On November 17, he developed severe abdominal pain during a routine evening HD session. The next morning, he went into shock and was emergently admitted to our center. Blood pressure was 68/-mmHg and hematocrit decreased from 26.1% to 19.6% in one day. Emergent body CT revealed a hematoma in the spleen and massive bloody ascites around the spleen. Soon after the diagnosis of splenic rupture had been made, splenectomy was performed. Bloody ascites fluid (2, 000ml) and a markedly protruding hematoma, from the enlarged spleen, were noted. The postoperative course was uneventful and he is presently on maintenance HD, as before. On pathological examination, there were no findings of infection, hematologic abnormalities, vascular disease or neoplasm. Only the hematoma and secondary infarction of the spleen were present. Spontaneous splenic rupture is very rare, but some cases receiving anticoagulant or thrombolytic therapy have been reported. Although there is only one report of spontaneous splenic rupture in a patient on HD, splenic rupture should be considered in the differential diagnosis of an acute abdomen in the HD patient.
- 社団法人 日本透析医学会の論文
社団法人 日本透析医学会 | 論文
- 4．血液浄化療法の生体適合性と腎性貧血
- PD-HD併用療法においての腎機能保護の可能性 : 第51回日本透析医学会ワークショップより
- 腹部大動脈人工血管の仮性動脈瘤破裂，および右大腿回旋動脈の仮性動脈瘤破裂をきたした血液透析患者の1例
- 5．透析患者のインスリン抵抗性と腎性貧血
- 摘出腫瘤の病理組織標本所見より頸椎腫瘍状石灰沈着症 (cervical tumoral calcinosis) と診断し得た維持透析患者の1例