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김광민 ( Kwang Min Kim ),김국진 ( Kuk Jin Kim ),김현철 ( Hyun Chul Kim ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.1
Although a majority of patients with splenic rupture present acutely, up to 15% present with a delayed rupture days to weeks following a substantial abdominal injury. The mortality for patients presenting with acute splenic rupture is approximately 1% whereas that associated with delayed rupture approaches 15%. Although many cases of delayed splenic rupture have been reported, the majority of those reports present delayed splenic rupture associated with an underlying systemic disorder such as liver or kidney disease, or another hematologic disorder. We found a delayed splenic rupture case that documented the normal spleens of young healthy soldiers after trivial abdominal trauma, and we have had successful treatment experience with delayed rupture of a normal spleen after trivial trauma. Therefore, we want to review the literature and discuss the phenomenon of delayed rupture of the spleen following trivial trauma.
Subcapsular Splenic Hemorrhage in Vivax Malaria
Jae Hyoung Im,정문현,Areum Durey,Jin-Soo Lee,Tong-Soo Kim,권혜윤,Ji Hyeon Baek 대한기생충학ㆍ열대의학회 2019 The Korean Journal of Parasitology Vol.57 No.4
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 se- verity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any pro- cedure. The healing process of the patient's spleen was monitored through 6 computed tomography follow-up examina- tions, 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 emboli- zation. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the pro- cess 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.
증례 : 혈액종양 ; 혈우병에서 발생한 비장 자연 파열
문성표 ( Seong Pyo Mun ),정춘해 ( Choon Hae Chung ),박치영 ( Chi Young Park ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
Spontaneous rupture of the spleen in hemophilia is a well-known but, nevertheless, rare, potentially life-threatening complication. A 41-year-old man with hemophilia presented to the emergency department with abdominal pain and severe anemia. He denied any medication use or history of abdominal trauma. Abdominal CT scan revealed splenic rupture with hemoperitoneum. Splenectomy was successfully performed. The patient made an uneventful recovery and was discharged 19 days later. (Korean J Med 77:S1278-S1280, 2009)
김대연,김성철,김인구,Kim, Dae-Yeon,Kim, Seong-Chul,Kim, In-Koo 대한소아외과학회 1999 소아외과 Vol.5 No.2
Congenital afibrinogenemia is a rare disorder characterized by a congenital lack of fibrinogen, a key component of the hemostatic system. Bleeding manifestations of congenital afibrinogenemia vary in severity from mild to catastrophic. This is a case report of splenic rupture occurred in an eight-year-old boy with congenital afibrinogenemia. Nonoperative treatment with cryoprecipitate and virally inactivated, purified fibrinogen concentrates successfully avoided splenectomy.
체외충격파쇄석술 후 발생한 지연성 비장파열 및 췌장 가성낭종 1례
박현경,정웅,박성혁,김명천 대한응급의학회 2008 大韓應急醫學會誌 Vol.19 No.6
Extracorporeal shock wave lithotripsy (ESWL) has revolutionized the management of urolithiasis since 1980. Although it has proved to be a safe, effective treatment modality, it is not free of complications. As this procedure has become more widely available, complications as a result of injury to the kidney and the surrounding organs are being increasingly recognized. Those reported complications include hepatic hematoma, biliary obstruction, pancreatitis, colonic and splenic injury, bowel perforation, psoas abscess, aortic aneurysm rupture, portal and iliac vein thrombosis, retroperitoneal and brain hemorrhage, gastric erosions, pulmonary contusions and cardiac arrhythmias. Physicians caring for these patients should be mindful of these complications and keep an eye open to spot them. We report here on a case of a young male patient who developed splenic rupture and a pancreatic pseudocyst after undergoing extracorporeal shock wave lithotripsy (ESWL) for treating a left upper ureter stone.