Hong Jong Sam, Jeong Woo Jin, Han Yang Hee, Shin Sa Young, Jun Jae Hyuck, Woo Yeong Min, Yun Jung Ho, Cheon Gab Jin
Department of Internal Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea.
Korean J Gastroenterol. 2015 Mar;65(3):186-9. doi: 10.4166/kjg.2015.65.3.186.
Esophageal and gastric varix, portal hypertensive gastropathy, Mallory-Weiss tear and gastric ulcer are common causes of bleeding in patients with liver cirrhosis. However, spontaneous arterial bleeding without a history of trauma is a rare cause of bleeding which can be fatal. We report a case of a 55-year-old woman with alcoholic liver cirrhosis who developed spontaneous bleeding of multiple right lumbar arteries and died in spite of repetitive transfusion and embolization.
食管和胃静脉曲张、门静脉高压性胃病、马洛里-魏斯撕裂伤和胃溃疡是肝硬化患者出血的常见原因。然而，无创伤史的自发性动脉出血是一种罕见的出血原因，可能会致命。我们报告一例55岁酒精性肝硬化女性患者，发生多条右腰动脉自发性出血，尽管反复输血和栓塞治疗仍死亡。
