복막투석 환자에서의 비자발적 비장 파열 1예
Spontaneous Splenic Rupture in a Peritoneal Dialysis Patient
이상희, 이동영, 문경협, 김현정, 이미지, 김희서, 김범,
소속 상세정보
이상희 ( Lee Sang-Hee )
중앙보훈병원 신장내과
이동영 ( Lee Dong-Young )
중앙보훈병원 신장내과
문경협 ( Moon Kyoung-Hyoub )
중앙보훈병원 신장내과
김현정 ( Kim Hyeon-Jeong )
중앙보훈병원 신장내과
이미지 ( Lee Mi-Ji )
중앙보훈병원 병리과
김희서 ( Kim Hui-Seo )
광명성애병원 신장내과
김범 ( Kim Beom )
중앙보훈병원 신장내과
Abstract
Atraumatic splenic rupture (ASR) in a patient undergoing peritoneal dialysis (PD) is uncommon, but can be life-threatening. According to recent systematic reviews, the major causes of ASR are 1) neoplastic (30.3%), 2) infectious (27.3%), 3) non-infectious inflammatory (20.0%), 4) iatrogenic (9.2%), 5) mechanical (6.8%), and 6) idiopathic (6.4%). It is diagnosed by imaging studies, most commonly ultrasonography and computed tomography (CT). Due to its rarity, the early diagnosis of ASR is difficult, and no standard treatment has been described. Here, we report a case of idiopathic ASR in a patient undergoing PD. The diagnosis was established by abdominal CT scan, and splenectomy was performed. Thus, hemoperitoneum in a PD patient should raise suspicion of ASR. Early diagnosis and appropriate treatment will lead to a better outcome.
키워드
Hemoperitoneum; Atraumatic splenic rupture; Peritoneal dialysis
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