복부 둔상 후 발생한 일시적 고혈압 1예
A Case of Transient Hypertension after Blunt Abdominal Trauma
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초록
외상 후 우측 옆구리 통증을 주소로 내원한 63세 환자에서 새로이 고혈압이 발생하였다. 신장 피막하 혈종과 부신 출혈에 의한 고혈압으로 진단하였고, 약물 치료 없이 경과관찰하였다. 24시간 활동혈압 측정과 복부 초음파를 추적관찰한 결과, 두 장기의 혈종의 크기 감소와 함께 혈압도 정상화되었다. 저자들은 복부 둔상 후 발생한 고혈압에서 신장의 피막하 혈종이나 부신 혈종에 의해 일시적 고혈압이 발생한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Arterial hypertension following blunt abdominal trauma is a rare complication that can be induced by compression of the renal parenchyma due to a perirenal or subcapsular hematoma or adrenal hemorrhage. A 63-year-old woman was admitted after blunt abdominal trauma. Abdominal computed tomography (CT) revealed a right renal subcapsular hematoma and right adrenal gland hematoma. The patient developed hypertension during conservative treatment. Pheochromocytoma, renovascular hypertension, adrenal adenoma, thyroid disease, and other causes of secondary hypertension were excluded. On following the patient, her blood pressure normalized spontaneously without prescribing any antihypertensive medications. The renal subcapsular hematoma and adrenal hemorrhage regressed progressively as the blood pressure normalized. We report this case to make physicians aware that transient hypertension can develop in patients with blunt abdominal trauma, and to prevent the use of unnecessary antihypertensive medications.
참고문헌 (10)
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