The Korean Journal of Medicine

  • 제85권2호
  • /
  • Pages.178-182
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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대장 내시경 이후 비장손상 없이 발생한 자발성 복강 내 출혈 1예

A Case of Spontaneous Hemoperitoneum without Spleen Injury after a Diagnostic Colonoscopy

  • 권아미 (가톨릭대학교 의과대학 내과학교실) ;
  • 김창욱 (가톨릭대학교 의과대학 내과학교실) ;
  • 이경은 (가톨릭대학교 의과대학 내과학교실) ;
  • 김연지 (가톨릭대학교 의과대학 내과학교실) ;
  • 박하늘 (가톨릭대학교 의과대학 내과학교실) ;
  • 서유림 (가톨릭대학교 의과대학 내과학교실) ;
  • 이창돈 (가톨릭대학교 의과대학 내과학교실)
  • Kwon, Ami (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Chang Wook (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Kyoung-Eun (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Yeon-Ji (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Park, Haneul (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Seo, Yoorim (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Chang Don (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • 투고 : 2012.10.07
  • 심사 : 2013.01.16
  • 발행 : 2013.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

대장 내시경에 의한 복강 내 출혈은 매우 드물지만 빠른 진단과 처치가 필요한 중한 합병증이다. 저자들은 검진 목적으로 대장 내시경을 시행받은 57세 남자에서 대장 내시경 이후 비장손상 없이 자발성 복강 내 출혈이 발생하였고 이후 수술적 처치 없이 호전된 증례를 경험하여 문헌고찰과 함께 보고한다.

Colonoscopy is a widely used diagnostic and therapeutic intervention with an excellent safety profile. Although an intraperitoneal hemorrhage is a rare complication after colonoscopy, and usually associated with splenic injury or solid organ pathology, it is potentially serious and can be life-threatening. We report a rare case of spontaneous intraperitoneal hemorrhage after diagnostic colonoscopy without splenic injury or intra-abdominal abnormality, known as idiopathic spontaneous intraperitoneal hemorrhage. This case emphasizes that physicians should be aware of the emergence of acute abdomen after colonoscopy.

키워드

참고문헌

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피인용 문헌

  1. Hemoperitoneum with Splenic Artery Rupture Following Diagnostic Colonoscopy vol.76, pp.5, 2013, https://doi.org/10.4166/kjg.2020.124