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늑골 골절에 의해 발생한 지연성 대동맥 손상에 대한 치험 1례
김창완 ( Chang Wan Kim ),최선우 ( Seon Uoo Choi ),김선희 ( Seon Hee Kim ),김재훈 ( Jae Hun Kim ),황정주 ( Jung Joo Hwang ),조현민 ( Hyun Min Cho ),송승환 ( Seung Hwan Song ),조정수 ( Jeong Su Cho ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.1
Traumatic aortic injury is well recognized as a primary cause of instantaneous death in victims of thoracic blunt trauma presenting with an aortic rupture or dissection, particularly after a deceleration injury. However, a direct aortic injury caused by a fractured rib segment after blunt thoracic trauma is extremely rare. We report the case of a 43-yearold male patient who experienced an aortic injury caused by the sharp edge of a fractured rib after multiple rib fractures due to blunt thoracic trauma. [ J Trauma Inj 2015; 28: 31-33 ]
복부 둔상에 의한 얕은엉덩휘돌이동맥 파열의 혈관조영색전술을 통한 성공적인 치료: 증례보고
이상봉 ( Sang Bong Lee ),박성진 ( Sung Jin Park ),여광희 ( Kwang Hee Yeo ),김호현 ( Ho Hyun Kim ),박찬용 ( Chan Yong Park ),김재훈 ( Jae Hun Kim ),김창완 ( Chang Wan Kim ),최선우 ( Seon Uoo Choi ),김선희 ( Seon Hee Kim ),황정주 ( 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.1
Lat. abdominal wall hematoma with active bleeding is very rare but need prompt bleeding control. We report successful treatment by angiographic embolization of superficial circumflex iliac artery rupture caused by blunt trauma. A 60- year-old woman presented painful, enlarging, lat. abdominal wall mass with ecchymosis caused by blunt abdominal trauma. Contrast leakage of superficial circumflex iliac a. within the lt. ext. oblique m. hematoma was confirmed by abdominal computed tomography. Angiographic embolization was performed successfully. Patient was discharged at 4th day after trauma without complication. Angiographic embolization is important treatment option of lat. abdominal wall hematoma with active bleeding replacing emergency surgery. [ J Trauma Inj 2015; 28: 39-42 ]