대량 출혈로 내원하여 기관무명동맥루로 진단된 13세 남자 환자
A tracheoinnominate artery fistula presenting with massive hemorrhage in a 13-year-old boy
김중헌, 이정용, 조형래, 이종승, 류정민,
소속 상세정보
김중헌 ( Kim Jung-Heon )
울산대학교 의과대학 소아청소년과학교실
이정용 ( Lee Jeong-Yong )
울산대학교 의과대학 소아청소년과학교실
조형래 ( Cho Hyung-Rae )
울산대학교 의과대학 소아청소년과학교실
이종승 ( Lee Jong-Seung )
울산대학교 의과대학 응급의학교실
류정민 ( Ryu Jeong-Min )
울산대학교 의과대학 응급의학교실
KMID : 1037620150020020089
Abstract
Despite its rarity, a tracheoinnominate artery fistula can result in catastrophic hemorrhage. Here, we describe a case of a 13- year-old boy with such a condition following tracheostomy. After identification of pulsatile bleeding from the tracheostoma, temporary control of hemorrhage was obtained using hyperinflation of the tracheostomy tube cuff. Subsequently, a lesion indicative of a tracheoinnominate artery fistula was found on a computed tomography scan, and the diagnosis was confirmed at surgery. After surgery, he was discharged with no recurrent bleeding. This case highlights the importance of high suspicion and prompt management of tracheoinnominate artery fistula.
키워드
Tracheostomy; Brachiocephalic Trunk; Fistula; Hemorrhage; Child
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