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KMID : 0359920110300020196
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Korean Journal of Nephrology
2011 Volume.30 No. 2 p.196 ~ p.200
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Spontaneous Mediastinal Hemorrhage in a Patient with End Stage Renal Disease: An Unusual Case of Uremic Bleeding
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Lee Sang-Heun
Kim In-Tae
Park Hyung-Bok
Hyun Yu-Kyung
Kim Yoon-Ji
Yoon Soo-Young
Lee Sang-Choel
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Abstract
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Hemorrhagic complications in patients with end stage renal disease (ESRD) are common. These abnormal bleeding tendencies are caused by several factors including anticoagulation during hemodialysis, anemia, and uremic platelet dysfunction. The most common clinical manifestation of uremic bleeding is hemorrhage of the gastrointestinal tract from gastric ulcer disease. Mediastinal bleeding, however, is rare in ESRD patients. Here, we report a case of spontaneous mediastinal bleeding in a patient with hemodialysis. A huge periesophageal hematoma was observed on the chest CT scan and the bleeding time representing platelet function was prolonged. This case underlies the diversity of uremic bleeding.
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KEYWORD
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Uremia, Hemorrhage, Mediastinum
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