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Korean J Crit Care Med > Volume 28(3); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(3): 210-213. doi: https://doi.org/10.4266/kjccm.2013.28.3.210
복어 중독 의심 환자에서 발견된 내장동맥 파열에 의한 혈액복막
이도원ㆍ김해규ㆍ이현정ㆍ홍정민ㆍ권재영
부산대학교 의학전문대학원 마취통증의학교실
A Case of Hemoperitoneum due to Spontaneous Rupture of Visceral Artery Aneurysm after Ingestion of Puffer Fish
Do Won Lee, Hae Kyu Kim, Hyun Jung Lee, Jung Min Hong, Jae Young Kwon
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. jykwon@pusan.ac.kr
ABSTRACT
Ingestion of puffer fish can cause intoxication, which produces a wide range of symptoms due to the presence of neurotoxins, such as tetrodotoxin, in puffer fish. Abdominal pain is just one of the symptoms that should be treated with symptomatic and supportive therapy. This study reports a case of a 56-year-old male patient with abdominal pain, who was admitted to the emergency room with a diagnosis of puffer fish poisoning. In this case, the abdominal pain did not improve, but rather, the symptoms worsened. Finally, the cause of the abdominal pain was found to be hemoperitoneum due to active bleeding at the greater omentum, as observed on abdominal computed tomography; the source of bleeding was the right colic artery branch. Embolization was performed successfully, and the post-intervention course was uneventful. The patient was discharged without any complications within 13 days after admission.
Key Words: embolization; hemoperitoneum; puffer fish
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