Korean J Crit Care Med.
2013 Nov;28(4):336-339. 10.4266/kjccm.2013.28.4.336.
Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite
- Affiliations
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- 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.
- KMID: 1977514
- DOI: http://doi.org/10.4266/kjccm.2013.28.4.336
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.
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