患者男,12岁。因被车把捣伤左下腹部2小时入院。Bp10/6kPa,心肺(一),腹平坦,腹肌软,左下腹压痛,无反跳痛,移动性浊音(十)。腹穿抽出不凝血,查血WBC12.6×10~9/L,HGB9g/L;NO.86,LO.14。入院后诊为腹部闭合伤,肠系膜血管断裂。剖腹探查发现腹腔内约有200ml积血,左下腹髂窝处腹膜后有一巨大血肿,剖开乙状结肠外侧腹膜,见髂血管处有一大蚕豆样肿物破裂, Patient male, 12 years old. Because of the handlebar smashed left lower abdomen 2 hours admission. Bp10 / 6kPa, cardiopulmonary (a), flat belly, soft belly, left lower quadrant tenderness, no rebound tenderness, shifting dullness (10). Abdominal wear out non-coagulation, check blood WBC12.6 × 10 ~ 9 / L, HGB9g / L; NO.86, LO.14. After admission diagnosed as abdominal closed injury, mesenteric vascular rupture. Caesarean exploration revealed that there are about 200ml intraperitoneal hemorrhage, the left lower quadrant of the iliac crease retroperitoneal a huge hematoma, open the lateral sigmoid colon peritoneum, see the iliac vessels at a large bean-like tumor rupture,