황체파열을 동반한 전신성 홍반성 루푸스 1예
A case of systemic lupus erythematosus with ruptured corpus luteum
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초록
황체파열은 대량출혈을 발생할 수 있으며, 자궁외임신이나 급성 충수염과 증상이 유사하기 때문에 초기에 진단이 용이하지 않다. 대량출혈 시에는 수술적 요법이 필요한 것으로 알려져 있으나 활력징후가 안정적이며, 전신성 홍반성 루푸스와 같은 자가면역질환이 동반되었을 때에는 코르티코스테로이드, 면역글로불린 등과 같은 보존적 치료를 시행할 수 있다. 저자는 본 증례에서 23세 여성이 하복부 통증으로 내원하여 시행한 초음파와 컴퓨터단층검사에서 복강내 출혈이 관찰되고 이학적 소견 및 혈액검사 결과 전신성 홍반성 루푸스로 진단하여 수술적 치료없이 보존적 치료만으로 합병증 없이 성공적으로 치료 한 환자를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.
Abstract
Ruptured corpus luteum can cause massive hemorrhage. Because its symptoms are similar to those of ectopic pregnancy and/or acute appendicitis, its diagnose in early stage is not easy. When massive hemorrhage breaks out, it is reported that operational treatment is required. However, when accompanied with autoimmune disease such as systemic lupus erythematosus (SLE) along with stable vital signs, a conservative treatments such as corticosteroids and immunoglobulins can be carried out. A 23-year-old female presented with lower abdominal pain and diagnosed as intraperitoneal hemorrhage through ultrasonography and CT. Physical examination and laboratory findings also indicated that the patient was carrying systemic lupus erythematosus (SLE). We experienced a case of systemic lupus erythematosus with ruptured corpus lutem which treated with conservative treatments without complications and present it with brief review of literatures.
참고문헌 (16)
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