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Korean J Med > Volume 86(4); 2014 > Article
The Korean Journal of Medicine 2014;86(4): 472-477.
알코올 간경변 환자에서 발생한 자발성 근육 내 혈종 3예
유동훈, 최자윤, 차라리, 오혜원, 조윤원, 민현주, 이옥재
경상대학교 의학전문대학원 경상대학교병원 내과
Three Cases of Spontaneous Muscle Hematoma in Alcoholic Liver Cirrhosis
Dong Hoon Lew, Ja Yoon Choi, Ra Ri Cha, Hye Won Oh, Yun Won Jo, Hyun Ju Min, Ok Jae Lee
Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
Corresponding Author: Hyun Ju Min ,Tel: +82-55-750-8885, Fax: +82-55-750-9496, Email: lyreju@naver.com
Received: 2013. 7. 17;  Accepted: 2013. 9. 2.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Liver cirrhosis is commonly associated with bleeding complications due to portal hypertension or coagulopathy. Spontaneous muscle hematoma is a rare but potentially lethal complication of liver cirrhosis. Here we report three cases of spontaneous muscle hematoma diagnosed in patients with alcoholic liver cirrhosis. All three patients died due to recurrent bleeding and liver failure although they had undergone repeated transcatheter arterial embolization of the actively bleeding vessels. We reviewed 14 cases of spontaneous muscle hematoma that were associated with liver cirrhosis, including our cases, and found that the mortality rate was 86%, despite early diagnosis and treatment. Cirrhosis-associated spontaneous muscle hematoma occurred more frequently in patients with alcoholic liver cirrhosis, who accounted for -93% of cases. Thus, spontaneous muscle hematoma should be considered a life-threatening complication in patients with alcoholic liver cirrhosis, and abstinence from alcohol may help to prevent the occurrence of this deadly condition. (Korean J Med 2014;86:472-477)
Keywords: Alcohol; Cirrhosis; Hematoma; Muscle
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