[Giant subcutaneous hematoma with hemorrhagic shock induced by goserelin acetate injection for prostate cancer : report of a case].
기관명 | NDSL |
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저널명 | 泌尿器科紀要 = Acta Urologica Japonica |
ISSN | 0018-1994, |
ISBN |
저자(한글) | Tashiro, Kojiro,Kimura, Shoji,Naruoka, Takehito,Furuta, Nozomu,Egawa, Shin |
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소속기관 | |
소속기관(영문) | |
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발행연도 | 2014-01-01 |
초록 | A 87-year-old man was diagnosed with prostate cancer (cT2aN0M0 Gleason score 44 with initial prostate specific antigen of 23.4 ng/ml). Prostate cancer was treated with combined androgen blockade (goserelin acetate plus flutamide). He was administered goserelin acetate depot injection without any complications as an outpatient. However, 5 hours after he left the hospital, he came back to the hospital, complaining of lower abdominal pain. Abdominal computed tomography revealed a giant subcutaneous hematoma in the lower abdomen. Hemoglobin was 6.9 g/dl and blood pressure was lower than 80 mmHg. He was admitted and given a blood transfusion. Because of pre-disseminated intravascular coagulation score 6, it was hard to antagonize warfarin by Vitamin K (he had taken warfarin because of atrial fibrillation). Arteriography was performed and injury to a branch of the lower epigastric artery was found. Transcatheter arterial embolization was performed at the same time. Injecting goserelin acetate may cause severe arterial injury. |
원문URL | http://click.ndsl.kr/servlet/OpenAPIDetailView?keyValue=03553784&target=NART&cn=NART70707686 |
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