전신성 홍반성 루푸스를 동반한 항인지질증후군 환자의 장간막 경색
Mesenteric Infarction of the Systemic Lupus Erythematosus and Antiphospholipid Syndrome Patient
김현아, 김영우,
소속 상세정보
김현아 ( Kim Hyun-Ah )
이화여자대학교 의과대학 외과학교실
김영우 ( Kim Young-Woo )
이화여자대학교 의과대학 외과학교실
KMID : 0371320010610060614
Abstract
Antiphospholipid syndrome is characterized by arterial or venous thrombosis and the production of antiphospholipid antibodies. Antiphospholipid syndrome may present primarily or secondary to systemic lupus erythematosus. The clinical features
include
multiple thrombosis, cerebral diseases, abortion in female, thrombocytopenia and so on. The treatment is based on anticoagulants, steroids, immunosuppressive agents and antiplatelet drugs. We report a case of a 29-year-old man who was admitted to
Ewha
Womans University Mok-dong Hospital with a generalized peritonitis. On emergency exploratory laparotomy, segmental infarction of the terminal ileum and the right colon was revealed and a right colon and ileal resection was performed. During the
postoperative period, the patient was finally diagnosed having antiphospholipid syndrome with systemic lupus erythematosus. He also had ischemic heart disease due to coronary artery thrombosis and pulmonary embolism due to deep vein thrombosis of
the
lower extremities. He eventually expired following a restorative ileocolostomy owing to anastomotic leakage and sepsis.
키워드
장간막 경색; 전신성 홍반성 루푸스; 항인지질증후군; Mesenteric infarction; Systemic lupus erythematosus; Antiphospholipid syndrome;
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