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Traumatic Retropharyngeal Hematoma of Delayed Onset in an Anticoagulated Patient

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¼Û°æÁø ( Song Kyung-Jin ) - ÀüºÏ´ëÇб³ Àǰú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç

¼ÛÁöÈÆ ( Song Ji-Hun ) - ¼øÃµ¼º°¡·Ñ·Îº´¿ø Á¤Çü¿Ü°ú
ÀÓ¿µÁø ( Lim Young Jin ) - ¼øÃµ¼º°¡·Ñ·Îº´¿ø Á¤Çü¿Ü°ú
Á¤À»¿À ( Jung El-O ) - ¼øÃµ¼º°¡·Ñ·Îº´¿ø Á¤Çü¿Ü°ú
±è±â¼ö ( Kim Ki-Soo ) - ¼øÃµ¼º°¡·Ñ·Îº´¿ø Á¤Çü¿Ü°ú

Abstract

°æ¹ÌÇÑ ¿Ü»ó ÈÄÀÇ ÈÄÀεκΠÇ÷Á¾Àº µå¹°°Ô ¹ß»ýÇÑ´Ù. Ãø¸é °æÃߺΠ´Ü¼ø ¹æ»ç¼± »çÁøÀ̳ª ÄÄÇ»ÅÍ ´ÜÃþ »çÁø»ó ÀüôÃß °ø°£ÀÇ È®ÀåÀ» º¸ÀÌ´Â °æ¿ì ÈÄÀεκΠÇ÷Á¾À¸·Î ÀÓ»óÀû Áø´ÜÀ» ÇÒ ¼ö ÀÖ´Ù. ÀÌ·± ÇÕº´ÁõÀÌ ¹ß»ýÇÏ¸é ±âµµ°¡ ´­·Á »ý¸íÀ» À§ÇùÇÒ ¼ö ÀÖÁö¸¸ Ãʱ⿡´Â Áø´ÜÀÌ ¸ðÈ£Çϸç ÀÎÈÄÅëÀ̳ª ¹ß¼º Àå¾Ö µî °¨¿° Áõ»óÀ» º¸À̱⵵ ÇÏ¿© Á¤È®ÇÑ Áø´ÜÀ» ¹æÇØÇÑ´Ù. ƯÈ÷ Ç×ÁöÇ÷Á¦ Ä¡·á¸¦ ¹Þ´Â ȯÀÚ´Â ¸é¹ÐÇÑ Á¶»ç°¡ ÇʼöÀûÀÌ´Ù. ÀúÀÚµéÀº ¿ÍÆÄ¸°À» º¹¿ëÇϰí ÀÖ¾ú´ø 52¼¼ ³²ÀÚ°¡ °ñ¼º °æÃߺΠ¼Õ»óÀÌ ¾ø´Â °æ¹ÌÇÑ ¿Ü»ó ÈÄ Áö¿¬¼º ÇÕº´ÁõÀ¸·Î ¹ß»ýÇÑ ÈÄÀεκΠÇ÷Á¾À» º¸¿´´ø Áõ·Ê¸¦ °æÇèÇÏ¿´±â¿¡ ¹®Çå °íÂû°ú ÇÔ²² º¸°íÇϰíÀÚ ÇÑ´Ù.

The development of a retropharyngeal hematoma following a trivial blunt trauma is a rare occurrence. A lateral c-spine X-ray or a cervical CT image that shows marked widening of the prevertebral space is sufficient evidence for the clinical diagnosis of retropharyngeal hematoma. When this complication does occur, it can become life-threatening if the airway is compromised. But the diagnosis is obscure and initially veiled in complaints of sore throat or hoarseness, suggesting infection. Thorough investigation of such complaints is necessary especially in patients receiving anticoagulation therapy. We now report a case of retropharyngeal hematoma that occurred as a delayed-onset consequence of a trivial blunt trauma with no evidence of a bony cervical spine injury. It occurred in a 52-year-old man who had been taking warfarin. We also reviewed the literature.

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ÈÄÀεκΠÇ÷Á¾; Ç×ÁöÇ÷Á¦ Ä¡·á; ¿ÍÆÄ¸°
retropharyngeal hematoma; anticoagulation; wafarin
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KCI
KoreaMed
KAMS