Rupture

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Heart rupture

Rupture ( lat. Ruptura , laceration, breakthrough '; of rumpere , tear', engl. Rupture ) referred to in medicine, the rupture or crack of a internal organ , a muscle , a vessel , a strip or a tendon .

causes

Ruptures are often the result of external trauma , for example during sports or a traffic accident. Here are torn ligaments like the ACL often. More dangerous, however, are organ ruptures of the kidney , liver , spleen ( spleen rupture ) due to the high blood loss or bladder rupture (rupture of the urinary bladder wall ), in which urine is emptied intraperitoneally (into the abdominal cavity) or extraperitoneally (into the surrounding tissue) and causes severe inflammation .

However, ruptures can also be the result of disease-related or congenital tissue damage. This subheading includes the cardiac wall aneurysm caused by a heart attack , congenital the vascular aneurysm (often of the aorta, e.g. in Marfan's syndrome ) or the Vena Galeni aneurysm in newborns .

A well-known example of age or degenerative tissue damage is the Achilles tendon rupture .

The rupture of the fallopian tubes has a completely different cause .

impact

The destruction of the tissue leads to functional losses. If organs rich in blood, such as the spleen or liver, or organs with walls rich in blood vessels, are torn apart, bleeding can occur. Ruptures of hollow organs with germ-containing contents usually lead to serious consequences such as sepsis or peritonitis . The mere release of digestive enzymes in the event of abdominal organ ruptures can also damage adjacent tissue.

See also

Individual evidence

  1. ^ Pschyrembel: Clinical Dictionary
  2. ↑ L. Lehmann, H.-P. Sharp: rotator cuff injuries. In: H.-P. Scharf, A. Rüter et al. (Ed.): Orthopedics and trauma surgery. Specialist knowledge according to the new training regulations. 1st edition. Elsevier Urban & Fischer, Munich 2009, ISBN 978-3-437-24400-1 , 24.3, pp. 449-456
  3. ↑ P. Habermeyer, S. Lichtenberg, P. Magosch: rotator cuff rupture and shoulder instability. In: Arthroscopy. Vol. 20, No. 3, 2007, pp. 217-222, doi : 10.1007 / s00142-007-0405-3 .
  4. ↑ H. Emminger, T. Kia: Exaplan: the compendium of clinical medicine. 6th edition. Vol. 2, Urban & Fischer bei Elsevier, Stuttgart - Berlin 2009, ISBN 3-437-42463-7 , chap. 28 Milz, p. 547 ff.
  5. ↑ M. Maruschke, HJ Kreutzer, H. Seiter: Bladder rupture due to spontaneous perforation of an infected urachus cyst. In: Der Urologe A. 42, 2003, p. 834, doi : 10.1007 / s00120-002-0290-3 .
  6. ^ V. Hofmann, KH Deeg, PF Hoyer: Ultrasound diagnostics in paediatrics and pediatric surgery. Textbook and atlas. Thieme 2005, ISBN 3-13-100953-5
  7. ↑ J. Isbach: The operative treatment of the Achilles tendon rupture taking into account the treatment results from the years 1992 to 1997. Dissertation, University of Münster, 2007. urn : nbn: de: hbz: 6-27509549176
  8. ↑ Kay Goerke, Ulrike Bazlen: Gynecology and Obstetrics. Urban & Fischer Verlag 2005, pp. 137 ff. ISBN 3-437-48140-1