한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제14권3호
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  • Pages.214-218
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  • 2010
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  • 2508-5778(pISSN)
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  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
권호 표지

Isolated Celiac Artery Dissection and Splenic Infarction in a Patient with Protein S Deficiency: A Case Report

  • Kim, Min-Jeong (Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Byung-Seup (Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, In-Gyu (Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jeon, Jang-Yong (Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine)
  • 발행 : 2010.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

Protein S (PS) deficiency is a rare blood disorder associated with thrombosis. Only a small number of cases of isolated celiac artery dissection can be found in the literature. We now report a case of isolated celiac artery dissection and splenic infarction in a 44-year old male with PS deficiency. Abdominal computed tomography revealed celiac artery dissection and splenic infarction. The patient's PS activity was 64% (nl : 70~140%) upon admission and 52% four weeks later. He was started on a regimen of NPO, antibiotics, and analgesics. He resumed oral intake of food and drugs on hospital day 3 and was discharged to his home on hospital day 8. We report a case of isolated celiac artery dissection with splenic infarction in a patient with PS deficiency that improved with conservative treatment. The patient's management did not include anti-platelet/thrombotic agents or endovascular/operational procedures.

키워드

참고문헌

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