锯鳞蝰咬伤后出现肾上腺血肿和右侧血胸：一种不寻常的表现。

Lakhotia Manoj, Pahadiya Hans Raj, Singh Jagdish, Gandhi Ronak, Bhansali Shashank

Department of Medicine, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India.

Toxicol Int. 2014 Sep-Dec;21(3):325-7. doi: 10.4103/0971-6580.155388.

Common bleeding manifestations after viperine bite include bleeding from site of bite, bleeding gums, epistaxis, hemoptysis, hematuria, hematemesis, and intracranial bleed. Bleeding in the adrenal gland is a rare manifestation. We report here a patient of viperine bite who developed right adrenal hematoma and right hemothorax after 3 days of bite. To the best of our knowledge this is the first case report of adrenal hematoma and right hemothorax after Echis carinatus bite.

蝰蛇咬伤后的常见出血表现包括咬伤部位出血、牙龈出血、鼻出血、咯血、血尿、呕血和颅内出血。肾上腺出血是一种罕见的表现。我们在此报告一名蝰蛇咬伤患者，咬伤3天后出现右肾上腺血肿和右侧血胸。据我们所知，这是首例关于锯鳞蝰咬伤后出现肾上腺血肿和右侧血胸的病例报告。