Spontaneous Rupture of Internal Iliac Artery Secondary to Anticoagulant Therapy
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概要
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We present a case of spontaneous retroperitoneal hemorrhage secondary to anticoagulant therapy. A 41-year-old woman who underwent aortic valve replacement due to infective endocarditis 2 months ago was admitted for evaluation of dizziness and fatigue. Physical examination revealed the abdomen to be distended. Blood work showed a hemoglobin 4.5 and INR 3.5. Abdominal CT showed a huge intra-abdominal hematoma with right internal iliac artery rupture. In abdominal aortic angiography, rupture of right internal iliac artery was confirmed and treated with embolization. Bleeding stopped after embolization, but she developed acute renal failure secondary to a huge hematoma. On POD#4, she underwent a laparotomy and the hematoma was evacuated. The patient had an uneventful recovery and was discharged from the hospital with no further bleeding episodes.
著者
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Kim Chi
Department Of Dermatology College Of Medicine And Medical Research Institute Chungbuk National Unive
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Choi Si
Department Of Materials Science And Engineering Korea Advanced Institute Of Science And Technology
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Kim Yong
Department And Research Institute Of Rehabilitation Medicine Yonsei University College Of Medicine
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Park Chan
Department Of Anatomy College Of Medicine Kyung Hee University
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Moon Mi-Hyoung
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea
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Jeon Hyun
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea
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Park Chan
Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, The Catholic University of Korea College, College of Medicine, Seoul, Korea
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Kim Yong
Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
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Jeon Hyun
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea
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