The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2007;73(3):1012-1016.
증례 : 유지 혈액 투석 환자에서 발생한 자발성 종격동 출혈 1예
김도형&#;김선민&#;유수정&#;오동진&#;유석희, , , ,
A case of spontaneous mediastinal hemorrhage in a patient on chronic hemodialysis
Do-Hyoung Kim, Sun-Min Kim, Soo-Jeong Yu, Dong-Jin Oh, Suk-Hee Yu
전남대학교병원 심장센터, 간호부, 전남대학교 심혈관계 특성화 사업단


Abstract
Spontaneous hemorrhage occurring in various parts of the body in patients receiving chronic hemodialysis has been reported. However, there are only a few reported cases of spontaneous mediastinal hemorrhage in such patients. We experienced a case of spontaneous mediastinal hemorrhage in a 58-year-old woman with chronic hemodialysis. She experienced the sudden onset of chest pain and dyspnea. The diagnosis was made by chest computed tomography. Her symptoms were relieved with conservative treatment and the mediastinal hemorrhage was completely absorbed after 8 months. We report this rare case of spontaneous mediastinal hemorrhage in chronic hemodialysis with a review of the literature.(Korean J Med 73:S1012-S1016, 2007)

Keywords :Hemorrhage, Mediastinum, Hemodialysis, Chronic renal failure
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