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증례 : 순환기 ; B형 벽내 혈종에서 심낭압전과 심막염
황나경 ( Nakyoung Hwang ),박진섭 ( Jin Sup Park ),차광수 ( Kwang Soo Cha ),김은희 ( Eun Heui Kim ),한성용 ( Sung Yong Han ),강진숙 ( Jin Suk Kang ) 대한내과학회 2015 대한내과학회지 Vol.89 No.6
We report the case of a patient with cardiac tamponade and pericarditis in type B intramural hematoma. A 75-year-old woman was admitted to the emergency department presenting with general weakness and dizziness for several hours and hemodynamic collapse. Thoracic echocardiography and computed tomography (CT) showed a large pericardial effusion and aortic intramural hematoma but no evidence of aortic dissection. Therefore, we concluded that the intramural hematoma did not involve the ascending aorta and thus immediately performed pericardiocentesis. Follow-up CT showed no pericardial effusion or specific changes in the range or depth of the intramural hematoma, and she was discharged continuing colchicines and ibuprofen therapy for acute pericarditis. Cardiac tamponade in type B intramural hematoma is extremely rare. Prompt diagnosis and initial treatment resulted in a substantial improvement in clinical status. (Korean J Med 2015;89:695-698)