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둔기손상에 대한 쇄골골절에 생긴 외상성 쇄골하동맥 박리: 폐쇄가 길면 수술하느냐 또는 스텐트를 삽입하느냐?
전순호 ( Soon Ho Chon ),이길수 ( Kil Soo Yie ),강재걸 ( Jae Gul Kang ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Subclavian injuries in blunt trauma are reported in less than 1% of all arterial injuries or chest related injuries. We report a female 68 yr-old patient whom has visited our emergency center due to a motorcycle traffic accident with complaints of right chest wall and shoulder pain. Her injury severity score was 22 and she was found with a comminuted clavicle fracture and subclavian artery injury. She developed delayed symptoms of pallor, pain and motor weakness with loss of pulse in her right arm. Attempts at intervention failed and thus, she underwent emergency artificial graft bypass from her subclavian artery to her brachial artery. Her postoperative course was uneventful and she is happy with the results. Although rare, a high index of suspicion for the injury must be noted and the inevitable surgical option must always be considered. [ J Trauma Inj 2015; 28: 219-221 ]
증례 : 소화기 ; 복부 대동맥류에 의한 대동맥십이지장루 및 척추 미란 1예
이동규 ( Dong Gyu Lee ),천광진 ( Kwang Jin Chun ),최대희 ( Dai Hee Choi ),강창돈 ( Chang Don Kang ),이성준 ( Sung Joon Lee ),이길수 ( Kil Soo Yie ),김형래 ( Hyung Rae Kim ) 대한내과학회 2010 대한내과학회지 Vol.78 No.1
국내에서는 아직 복부 대동맥류에 의해 대동맥십이지장루와 척추 미란이 함께 동반한 경우는 보고된 바가 없다. 저자들은 토혈을 주소로 내원한 43세 남자 환자에서 반복적 상부 내시경으로 원발성 대동맥십이지장루를 진단하여 수술을 통해 성공적으로 치료하였던 예를 문헌고찰과 함께 보고 한다. A primary aortoenteric fistula is an uncommon complication of an abdominal aortic aneurysm, but can be fatal due to the high risk of massive bleeding and sepsis. Rarely, an abdominal aortic aneurysm can cause vertebral erosion. We report uncommon complications of an abdominal aortic aneurysm that caused an aortoduodenal fistula and lumbar vertebral erosion. To our knowledge, this is the first case of an abdominal aortic aneurysm complicated by an aortoduodenal fistula and vertebral erosion simultaneously. (Korean J Med 78:99-103, 2010)