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J Korean Soc Emerg Med > Volume 27(2); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(2): 210-213.
발프로익산(Valproic acid) 중독환자에서 발생한 간부전을 동반하지 않은 복수 1례
박용진3, 선경훈1, 조준호1, 박경혜1, 박하영1, 박송이1, 김태훈2
1인제대학교 의과대학 해운대백병원 응급의학과
2부산백병원 응급의학과
3조선대학교 의과대학 응급의학과
A Case of Ascites without Liver Failure in Patient with Valproic Acid Intoxication
Yong Jin Park3, Kyung Hoon Sun1, Jun Ho Cho1, Kyung Hye Park1, Ha Young Park1, Song Yi Park1, Tae Hoon Kim2
1Department of Emergency Medicine, Inje University, Haeundae Paik Hospital, Busan, Korea
2Department of Emergency Medicine, Inje University, Busan Paik Hospital, Busan, Korea
3Department of Emergency Medicine, College of Medicine, Chosun University, Gwangju, Korea
Correspondence  Kyung Hoon Sun ,Tel: 051) 797-0119, Fax: 051) 797-0313, Email: skhkorea@hanmail.net,
Received: November 2, 2015; Revised: November 3, 2015   Accepted: December 10, 2015.  Published online: April 30, 2016.
Valproic acid (VA) has been used for treatment of various convulsive disorders. As its use has increased, many complications of VA have been reported. Complications include significantly dangerous organ failures such as liver failure, brain edema, respiratory arrest, and pancreatitis, and so on. Some clinicians have reported rare cases of ascites with liver failure and necrotizing pancreatitis in patients with VA overdose. However, no case of ascites without organ problems has been reported. A 19 year-old man who was intoxicated with VA was transferred to our hospital. He had abdominal distension with a moderate amount of ascites despite having no organ dysfunction. We will describe this rare case.
Key words: Valproic acid, Ascites, Liver failure
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