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KMID : 0604020130280040336
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Korean Journal of Critical Care Medicine
2013 Volume.28 No. 4 p.336 ~ p.339
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Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite
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Lee Ji-Young
Yeo Yoo-Mi
Kim Ji-Yeoun
Oh Il-Hwan
Hwang Soon-Woo
Lee Sang-Ki
Kwak Dong-Shin
Choi Ji-Yoon
Kim Jeong-Eun
Park Joon-Sung
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Abstract
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In Asia, snakebites are estimated to affect 4 million people every year, and of these, 100,000 people are estimated to die. In Korea, snakebites occur frequently from the spring to the fall, but their importance is often overlooked. Fatal complications, including acute respiratory distress and acute kidney injury, can occur, and in some cases, severe hemorrhage results from coagulopathy. There have been only a few cases of snakebite-induced liver or intestinal bleeding, but to our knowledge, spontaneous bleeding from the spleen has not been previously reported. Here, we report the case of a 61-year-old male who visited the emergency room with abrupt abdominal pain due to hemoperitoneum associated with splenic hemorrhage after a snakebite.
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KEYWORD
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coagulopathy, hemoperitoneum, snakebite, splenic hemorrhage
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