Moon J M, Lee S C, Chun B J
Department of Emergency Medicine, Chonnam National University Hospital, 8 Hakdong Donggu Gwangju, 501-757, South Korea.
Emerg Med J. 2008 Jan;25(1):53-4. doi: 10.1136/emj.2007.052548.
We present a patient who complained of right flank pain resulting from spontaneous intercostal artery rupture while sleeping. He did not have symptoms or a history to suggest other diseases or trauma except hypertension. Arteriography revealed a rupture of the right 10th and 11th intercostal artery, and transcatheter arterial embolisation was successfully done. The patient was discharged without any sequelae. To our knowledge, this is the second report in the literature documenting spontaneous intercostal artery rupture without associated illness or injury. Through comparison with the first reported case, we discuss the cause, the vulnerable site, and the treatment of spontaneous intercostal bleeding.
我们报告一例患者，该患者主诉在睡眠时因自发性肋间动脉破裂而出现右侧胁腹疼痛。除高血压外，他没有提示其他疾病或外伤的症状或病史。血管造影显示右侧第10和第11肋间动脉破裂，并成功进行了经导管动脉栓塞术。患者出院时无任何后遗症。据我们所知，这是文献中第二例记录无相关疾病或损伤的自发性肋间动脉破裂的报告。通过与首例报告病例进行比较，我们讨论了自发性肋间出血的病因、易患部位及治疗方法。
