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Korean J Crit Care Med > Volume 28(4); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(4): 336-339. doi: https://doi.org/10.4266/kjccm.2013.28.4.336
독사교상에 의해 발생한 비장출혈과 혈액복강
한양대학교 의과대학 한양대학교병원 내과, *울산대학교 의과대학 서울아산병원 혈관외과
Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite
Ji Young Yhi, Yoomi Yeo, Ji Yeoun Kim, Il Hwan Oh, Soon Woo Hwang, Sang Ki Lee, Dong Shin Kwak, Ji Yoon Choi, Jeong Eun Kim, Joon Sung Park
1Department of Internal Medicine, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea. sjpjoon@hanyang.ac.kr
2Division of Vascular surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
In Asia, snakebites are estimated to affect 4 million people every year, and of these, 100,000 people are estimated to die. In Korea, snakebites occur frequently from the spring to the fall, but their importance is often overlooked. Fatal complications, including acute respiratory distress and acute kidney injury, can occur, and in some cases, severe hemorrhage results from coagulopathy. There have been only a few cases of snakebite-induced liver or intestinal bleeding, but to our knowledge, spontaneous bleeding from the spleen has not been previously reported. Here, we report the case of a 61-year-old male who visited the emergency room with abrupt abdominal pain due to hemoperitoneum associated with splenic hemorrhage after a snakebite.
Key Words: coagulopathy; hemoperitoneum; snakebite; splenic hemorrhage
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