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강종원 ( Jong Won Kang ),김영돈 ( Young Don Kim ),홍종삼 ( Jong Sam Hong ),권장훈 ( Jang Hoon Kwon ),서현웅 ( Hyun Woong Seo ),김성훈 ( Sung Hoon Kim ),이종혁 ( Jong Hyuk Lee ),천갑진 ( Gab Jin Cheon ) 대한소화기학회 2012 대한소화기학회지 Vol.59 No.2
Paracentesis is a diagnostic, therapeutic procedure performed in patients with ascites. It is generally thought to be a safe procedure and transfusion of platelet concentrate or fresh frozen plasma is not recommended before the procedure, because the incidence of clinically significant bleeding is very low. We report a case of lateral abdominal wall hematoma due to the injury of the deep circumflex iliac artery after paracentesis in patient with alcoholic liver cirrhosis who was treated with transcatheter arterial embolization.
간경변증 환자에서 자발적으로 발생한 다발성 우측 허리동맥 출혈
홍종삼 ( Jong Sam Hong ),정우진 ( Woo Jin Jeong ),한양희 ( Yang Hee Han ),신사영 ( Sa Young Shin ),전제혁 ( Jae Hyuck Jun ),우영민 ( Yeong Min Woo ),윤정호 ( Jung Ho Yun ),천갑진 ( Gab Jin Cheon ) 대한소화기학회 2015 대한소화기학회지 Vol.65 No.3
Esophageal and gastric varix, portal hypertensive gastropathy, Mallory-Weiss tear and gastric ulcer are common causes of bleeding in patients with liver cirrhosis. However, spontaneous arterial bleeding without a history of trauma is a rare cause of bleeding which can be fatal. We report a case of a 55-year-old woman with alcoholic liver cirrhosis who developed spontaneous bleeding of multiple right lumbar arteries and died in spite of repetitive transfusion and embolization. (Korean J Gastroenterol 2015;65:186-189)