Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite

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

doi:10.4266/kjccm.2013.28.4.336

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Case Report Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite: 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; DOI: https://doi.org/10.4266/kjccm.2013.28.4.336

¹Department of Internal Medicine, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea. sjpjoon@hanyang.ac.kr

²Division of Vascular surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

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Abstract

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.

Keywords: coagulopathy;hemoperitoneum;snakebite;splenic hemorrhage;

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