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논문 기본 정보

자료유형
학술저널
저자정보
Jae Hyoung Im (Inha University School of Medicine) Moon-Hyun Chung (Seogwipo Medical Center) Areum Durey (Inha University School of Medicine) Jin-Soo Lee (Inha University School of Medicine) Tong-Soo Kim (Inha University School of Medicine) Hea Yoon Kwon (Inha University School of Medicine) Ji Hyeon Baek (Inha University School of Medicine)
저널정보
대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.57 No.4
발행연도
2019.8
수록면
405 - 409 (5page)

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In malaria, splenic rupture is a serious complication potentially leading to death. Subcapsular hemorrhage of spleen is thought to be an impending sign of splenic rupture; however, the characteristics of subcapsular hemorrhage are not well known. We report 3 cases of subcapsular hemorrhage of the spleen in vivax malaria, with varying degrees of severity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any procedure. The healing process of the patient"s spleen was monitored through 6 computed tomography follow-up examinations, over 118 days. Case 2 presented subcapsular hemorrhage with splenic rupture, treated only with an antimalarial drug. Case 3 showed subcapsular hemorrhage with splenic rupture and hypotension, treated using splenic artery embolization. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the process of subcapsular hemorrhage leading to rupture and a potentially fatal outcome. The treatment plan of subcapsular hemorrhage should be determined carefully considering the vital signs, changes in hemoglobin, and bleeding tendency.

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Abstract
INTRODUCTION
CASE DESCRIPTION
DISCUSSION
REFERENCES

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