Segmental Arterial Mediolysis으로 인한 신경색과 혈복강Clinical Progression of Segmental Arterial Mediolysis; Renal Infarction and Intra-abdominal Hemorrhage
- Other Titles
- Clinical Progression of Segmental Arterial Mediolysis; Renal Infarction and Intra-abdominal Hemorrhage
- Authors
- 최재형; 조영순; 김재우; 이정원; 문형준
- Issue Date
- 2012
- Publisher
- 대한응급의학회
- Keywords
- Renal artery obstruction; Hemoperitoneum; Angiography
- Citation
- 대한응급의학회지, v.23, no.6, pp.906 - 910
- Journal Title
- 대한응급의학회지
- Volume
- 23
- Number
- 6
- Start Page
- 906
- End Page
- 910
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15548
- ISSN
- 1226-4334
- Abstract
- This article reports a patient with both a renal infarction and acute intra-abdominal hemorrhage secondary to a rare vascular disease, segmental arterial mediolysis. The patient was a 37-year-old male who presented with acute right flank pain. Abdominal and pelvic computerized tomography (CT) showed a right renal infarction. After three days, the right flank pain had diminished but left flank pain began.
Visceral angiography revealed a wedge shape perfusion defect at the mid pole of the left kidney, suggesting a left renal infarction but there were no definite perfusion defects at the right kidney. After ten days, the patient complained of abdominal pain and 2 episodes of syncope. Abdominal CT revealed active bleeding from the splenic artery and a large amount of hemoperitoneum. After emergency embolization,the patient’s were stabilized. After 28 days, his condition was improved and discharged without complications. The angiographic and laboratory findings were consistent with a diagnosis of segmental arterial mediolysis involving the renal and splenic artery. This is the first case report of clinical progression related to segmental arterial mediolysis requiring emergent coil embolization.
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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