Three Cases of Spontaneous Muscle Hematoma in Alcoholic Liver Cirrhosis.
- Author:
Dong Hoon LEW
1
;
Ja Yoon CHOI
;
Ra Ri CHA
;
Hye Won OH
;
Yun Won JO
;
Hyun Ju MIN
;
Ok Jae LEE
Author Information
1. Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea. lyreju@naver.com
- Publication Type:Case Report
- Keywords:
Alcohol;
Cirrhosis;
Hematoma;
Muscle
- MeSH:
Alcoholics*;
Early Diagnosis;
Fibrosis;
Hematoma*;
Hemorrhage;
Humans;
Hypertension, Portal;
Liver Cirrhosis;
Liver Cirrhosis, Alcoholic*;
Liver Failure;
Mortality
- From:Korean Journal of Medicine
2014;86(4):472-477
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Liver cirrhosis is commonly associated with bleeding complications due to portal hypertension or coagulopathy. Spontaneous muscle hematoma is a rare but potentially lethal complication of liver cirrhosis. Here we report three cases of spontaneous muscle hematoma diagnosed in patients with alcoholic liver cirrhosis. All three patients died due to recurrent bleeding and liver failure although they had undergone repeated transcatheter arterial embolization of the actively bleeding vessels. We reviewed 14 cases of spontaneous muscle hematoma that were associated with liver cirrhosis, including our cases, and found that the mortality rate was 86%, despite early diagnosis and treatment. Cirrhosis-associated spontaneous muscle hematoma occurred more frequently in patients with alcoholic liver cirrhosis, who accounted for -93% of cases. Thus, spontaneous muscle hematoma should be considered a life-threatening complication in patients with alcoholic liver cirrhosis, and abstinence from alcohol may help to prevent the occurrence of this deadly condition.
