Tuberculosis and Respiratory Diseases

  • 제69권6호
  • /
  • Pages.480-482
  • /
  • 2010
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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중환자에서 발생한 저혈량성 쇼크 동반 복직근초 혈종 1예

A Case of Rectus Sheath Hematoma Complicated with Hypovolemic Shock in a Critically-Ill Patient

  • 신홍준 (전남대학교 의과대학 내과학교실) ;
  • 김윤희 (전남대학교 의과대학 내과학교실) ;
  • 지수영 (전남대학교 의과대학 내과학교실) ;
  • 반희정 (전남대학교 의과대학 내과학교실) ;
  • 권용수 (전남대학교 의과대학 내과학교실) ;
  • 오인재 (전남대학교 의과대학 내과학교실) ;
  • 김규식 (전남대학교 의과대학 내과학교실) ;
  • 임성철 (전남대학교 의과대학 내과학교실) ;
  • 김영철 (전남대학교 의과대학 내과학교실) ;
  • 김수옥 (서남대학교 의과대학 내과학교실)
  • Shin, Hong-Joon (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Yoon-Hee (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Chi, Su-Young (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Ban, Hee-Jung (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kwon, Yong-Soo (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Oh, In-Jae (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Kyu-Sik (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Lim, Sung-Chul (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Young-Chul (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Soo-Ok (Department of Internal Medicine, Seonam University College of Medicine)
  • 투고 : 2010.05.13
  • 심사 : 2010.08.13
  • 발행 : 2010.12.30
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초록

Rectus sheath hematoma (RSH) is a rare condition caused by hemorrhage into the rectus sheath. It is usually associated with severe cough, abdominal surgery, coagulopathy, and anticoagulation treatment. RSH can be difficult to diagnose and can be misdiagnosed as acute appendicitis, as diverticulitis, or as an ovarian mass. Although RSH usually presents as a benign condition, it can be life threatening, especially in the critically-ill patient. Here, we report a case of fatal RSH due to hypovolemic shock in a critically-ill 73-year-old woman, who had received heparin treatment due to acute myocardial infarction in the intensive care unit and who had been successfully treated by conservative management.

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참고문헌

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