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KMID : 0338420080230030152
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The Korean Journal of Internal Medicine
2008 Volume.23 No. 3 p.152 ~ p.155
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Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis
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Lee Tae-Hee
Park Yong-Sung
Chung Dong-Jin
Kim Ji-Hyung
Kim Sun-Moon
Im Euyi-Hyeog
Huh Kyu-Chan
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Abstract
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Bleeding in patients with liver cirrhosis is primarily caused by gastroesophageal varix in association with extensive collateral circulation, portal hypertensive gastropathy, a Mallory-Weiss tear and peptic ulcer disease. The spontaneous rupture of an artery, as a result of coagulopathy, is extremely rare in patients with liver cirrhosis; however, we recently observed a case of a spontaneous rupture of the lateral thoracic artery in a 47 year-old male patient with alcoholic liver cirrhosis. The patient expired despite repeated transcatheter arterial embolization of the lateral thoracic artery and best supportive care. This is, to our knowledge, the first documented case of the spontaneous rupture of the lateral thoracic artery in a patient with liver cirrhosis.
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KEYWORD
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Rupture, Spontaneous, Thoracic Artery, Liver Cirrhosis
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