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Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite
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Ji Young Yhi, Yoomi Yeo, Ji Yeoun Kim, Il Hwan Oh, Soon Woo Hwang, Sang Ki Lee, Dong Shin Kwak, Ji Yoon Choi, Jeong Eun Kim, Joon Sung Park
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Korean J Crit Care Med. 2013;28(4):336-339.
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DOI: https://doi.org/10.4266/kjccm.2013.28.4.336
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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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Citations
Citations to this article as recorded by  - Hemoperitoneum after a Bothrops snakebite: Case report
Adriana Baqueiro Abad Ribeiro, Marcelo Larami Santoro, Marcelo Ribeiro Duarte, Cristiana Cruz Virgulino, Gerson Sobrinho Salvador de Oliveira, Francisco Oscar de Siqueira França
Toxicon.2024; 237: 107350. CrossRef - Disseminated intravascular coagulation like syndrome and cerebral hemorrhage caused by snake venom: a case report
Sung Min Lee, Kyung Hoon Sun
Medical Biological Science and Engineering.2024; 7(1): 64. CrossRef - Delayed Splenic Rupture: A Rare Complication of Snakebites
Tae-Youn Kim, Young-Il Roh, Kyoung-Chul Cha, Sung Oh Hwang, Woo Jin Jung
Wilderness & Environmental Medicine.2021; 32(1): 78. CrossRef - Splenic rupture and subsequent splenectomy in a young healthy victim following Russell's viper bite
Subramanian Senthilkumaran, Pradeep Vijayakumar, Ravi Savania, Rajendran Vaiyapuri, Namasivayam Elangovan, Ketan Patel, Steven A. Trim, Ponniah Thirumalaikolundusubramanian, Sakthivel Vaiyapuri
Toxicon.2021; 204: 9. CrossRef
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A Case of Metformin-Induced Acute Kidney Injury without Lactic Acidosis: A Case Report
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Hae Ryong Jeong, Jeong Im Choi, Jung Hwan Park, Sang Mo Hong, Joon Sung Park, Chang Beom Lee, Yong Soo Park, Dong Sun Kim, Woong Hwan Choi, You Hern Ahn
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Korean J Crit Care Med. 2012;27(4):283-285.
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DOI: https://doi.org/10.4266/kjccm.2012.27.4.283
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Abstract
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- Metformin is an oral antidiabetic drug in the biguanide class, which is used for type 2 diabetes. The side effects of metformin are mostly limited to digestive tract symptoms, such as diarrhea, flatulence and abdominal discomfort. The most serious potential adverse effect of metformin is lactic acidosis. A 51-year-old man was admitted due to hypoglycemia as a result of an overdose of antidiabetic drugs. He took massive dose of metformin. Conservative treatment failed for metabolic acidosis without lactic acidosis accompanied by acute kidney injury. Hemodialysis was executed to correct the high anion gap metabolic acidosis and acute kidney injury, and the patient recovered fully from metabolic acidosis. This case illustrates that the presence of clinical conditions, such as metformin-induced acute kidney injury and metabolic acidosis, can be developed without lactic acidosis. Prompt recognition of metabolic acidosis and early intervention with hemodialysis can result in a successful clinical outcome.
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