지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 358 - 361 (4page)
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초록· 키워드
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Spontaneous retroperitoneal hemorrhage is one of the most serious and often lethal complications of anticoagulation therapy. The clinical symptoms vary from femoral neuropathy to abdominal compartment syndrome or fatal hypovolemic shock. Of these symptoms, abdominal compartment syndrome is the most serious of all, because it leads to anuria, worsening of renal failure, a decrease in cardiac output, respiratory failure, and intestinal ischemia. We report a case of a spontaneous retroperitoneal hemorrhage in a 48-year-old female who had been receiving warfarin and aspirin for her artificial aortic valve. She presented with a sudden onset of lower abdominal pain, dizziness and a palpable abdominal mass after prolonged straining to defecate. Computed tomography demonstrated a huge retroperitoneal hematoma and active bleeding from the right internal iliac artery. After achieving successful bleeding control with transcatheter arterial embolization, surgical decompression of the hematoma was performed for management of the femoral neuropathy and the abdominal compartment syndrome. She recovered without any complications. We suggest that initial hemostasis by transcatheter arterial embolization followed by surgical decompression of hematoma is a safe, effective treatment method for a spontaneous retroperitoneal hemorrhage complicated with intractable pain, femoral neuropathy, or abdominal compartment syndrome.
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참고문헌 (20)
참고문헌 신청
Andrade MM / 2007 / Abdominal compartment syndrome due to warfarin-related retroperitoneal hematoma / Clinics (Sao Paulo) 62 : 781 ~ 784
Bhasin HK / 1978 / Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients / Nephron 22 : 322 ~ 327
Chan-Tack KM / 2003 / Fatal spontaneous retroperitoneal hematoma secondary to enoxaparin / South Med J 96 : 58 ~ 60
Curry PV / 1974 / Retroperitoneal haemorrhage and neuropathy complicating anticoagulant therapy / Postgrad Med J 50 : 37 ~ 40
Dabney A / 2001 / Enoxaparin-associated severe retroperitoneal bleeding and abdominal compartment syndrome: a report of two cases / Intensive Care Med 27 : 1954 ~ 1957
Bhasin HK / 1978 / Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients / Nephron 22 : 322 ~ 327
Chan-Tack KM / 2003 / Fatal spontaneous retroperitoneal hematoma secondary to enoxaparin / South Med J 96 : 58 ~ 60
Curry PV / 1974 / Retroperitoneal haemorrhage and neuropathy complicating anticoagulant therapy / Postgrad Med J 50 : 37 ~ 40
Dabney A / 2001 / Enoxaparin-associated severe retroperitoneal bleeding and abdominal compartment syndrome: a report of two cases / Intensive Care Med 27 : 1954 ~ 1957
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