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Case Report
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Korean J Med. 2014;86(4):472-477. Published online April 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.4.472
- 알코올 간경변 환자에서 발생한 자발성 근육 내 혈종 3예
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유동훈, 최자윤, 차라리, 오혜원, 조윤원, 민현주, 이옥재
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경상대학교 의학전문대학원 경상대학교병원 내과
- Three Cases of Spontaneous Muscle Hematoma in Alcoholic Liver Cirrhosis
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Dong Hoon Lew, Ja Yoon Choi, Ra Ri Cha, Hye Won Oh, Yun Won Jo, Hyun Ju Min, Ok Jae Lee
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Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
- Corresponding author: Hyun Ju Min ,Tel: +82-55-750-8885, Fax: +82-55-750-9496, Email: lyreju@naver.com
- Received: July 17, 2013; Revised: August 6, 2013 Accepted: September 2, 2013.
- 자발성 근육 내 혈종은 간경변 환자에서 드물지만 치명적인 합병증이다. 저자들은 알코올 간경변 환자에서 자발적으로 발생한 근육 내 혈종 3예를 경험하여 보고하는 바이다. 출혈 혈관에 대하여 반복적인 경동맥 색전술을 시행하였음에도 불구하고 지속되는 출혈과 간부전으로 모두 사망하였다. 현재까지 보고된 간경변 환자에서 발생한 자발성 근육 내 혈종 14증례에서 알코올 간경변 환자에서 가장 많이 발생하였으며 빠른 진단과 치료에도 불구하고 사망률이 높았다. 따라서 간경변 환자에서 발생하는 자발성 근육 내 혈종은 드물지만 예후가 매우 불량하여 이의 발생과 치료에 주의를 요한다.
߽ɾ :알코올; 간경변; 혈종; 근육
- Abstract
- Liver cirrhosis is commonly associated with bleeding complications due to portal hypertension or coagulopathy. Spontaneous muscle hematoma is a rare but potentially lethal complication of liver cirrhosis. Here we report three cases of spontaneous muscle hematoma diagnosed in patients with alcoholic liver cirrhosis. All three patients died due to recurrent bleeding and liver failure although they had undergone repeated transcatheter arterial embolization of the actively bleeding vessels. We reviewed 14 cases of spontaneous muscle hematoma that were associated with liver cirrhosis, including our cases, and found that the mortality rate was 86%, despite early diagnosis and treatment. Cirrhosis-associated spontaneous muscle hematoma occurred more frequently in patients with alcoholic liver cirrhosis, who accounted for -93% of cases. Thus, spontaneous muscle hematoma should be considered a life-threatening complication in patients with alcoholic liver cirrhosis, and abstinence from alcohol may help to prevent the occurrence of this deadly condition. (Korean J Med 2014;86:472-477)
Keywords :Alcohol, Cirrhosis, Hematoma, Muscle
