Journal List > Korean J Leg Med > v.36(1) > 1004675

Park and Lee: Hemoperitoneum Resulting From Injuries to Liver with a Benign Vascular Tumor During Acupuncture: A Case Report

Abstract

Various complications following acupuncture have been reported. In most cases, complications occur from the close apposition of vital organs and acupuncture sites. These complications can be avoided if acupuncturists are trained in appropriate medical science such as anatomy. However, our case is somewhat different from the norm. The deceased received acupuncture on the abdomen, provided by an acupuncturist. Unexpected symptoms occurred suddenly and she was transported to a hospital where she died of hemoperitoneum. On the postmortem examination, a well-defined vascular tumor was identified on the front of the liver, which was also cirrhotic; a few localized injuries were identified on the cystic wall of the tumor and surrounding liver parenchyma. We assumed these injuries were complications of acupuncture. Therefore, we present this case to suggest that acupuncturists should be educated to be vigilant for complications following treatment to reduce the risk of these tragedies.

References

1. Sierpina VS, Frenkel MA. Acupucture: a clinical review. South Med J. 2005; 98:330–7.
2. Park KH, Yoo TW. Evidence based acupuncture. Hanyang Med Rev. 2010; 30:91–102.
crossref
3. Peuker E, Gro ¨nemeyer D. Rare but serious complications of acupuncture: traumatic lesions. Acupunct Med. 2001; 19:103–8.
crossref
4. White A, Hayhoe S, Hart A, Ernst E. Adverse events following acupuncture: prospective survey of 32 000 consultations with doctors and physiotherapists. BMJ. 2001; 323:485–6.
crossref
5. Macpherson H, Scullion A, Thomas KJ, Walters S. Patient reports of adverse events associated with acupuncture treatment: a prospective national survey. Qual Saf Health Care. 2004; 13:349–55.
crossref
6. Chung A, Bui L, Mills E. Adverse effects of acupuncture. Which are clinically significant? Can Fam Physician. 2003; 49:985–9.
7. MacPherson H. Fatal and adverse events from acupuncture: allegation, evidence, and the implications. J Altern Complement Med. 1999; 5:47–56.
crossref
8. Hong WJ, Lee SG, Park CW, Kim WK, Yoo CJ. Awareness for serious spinal complications predicted after acupuncture procedures for pain control. J Korean Neurosurg Soc. 2004; 36:130–4.
9. White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004; 22:122–33.
crossref
10. MacPherson H, Thomas K. Short term reactions to acupuncture–a cross-sectional survey of patient reports. Acupunct Med. 2005; 23:112–20.
11. MacPherson H, Thomas K, Walters S, Fitter M. The York acupuncture safety study: prospective survey of 34 000 treatments by traditional acupuncturists. BMJ. 2001; 323:486–7.
crossref
12. Chang H, Park JH, Park S. Review of Acupuncture Related Death Cases with a Case Report: Acupuncture Shock? Korean J Leg Med. 2010; 34:67–71.
13. Kim JH, Kim SH, Lee YJ, Hong JS, Ahn R, Hong ES. Hemopericardium Following Acupuncture. Yonsei Med J. 2011; 52:207–9.
crossref
14. Tseng HS, Chan SE, Kuo SJ, Chen DR. Acupuncture-Related Rapid Dermal Spread of Breast Cancer: A Rare Case. J Breast Cancer. 2011; 14:340–4.
crossref
15. Kim JK, Kim TY, Kim DH, Yoon MS. Three Cases of Primary Inoculation Tuberculosis as a Result of Illegal Acupuncture. Ann Dermatol. 2010; 22:341–5.
crossref
16. MacPherson H, Thomas K, Walters S, Fitter M. A prospective survey of adverse events and treatment reactions following 34,000 consultations with professional acupuncturists. Acupunct Med. 2001; 19:93–102.
crossref
17. The provisions of qualifying examinations for bone settlers, acupuncturists, moxibustioners, and masseurs. Available at:. http://www.law.go.kr/lsInfoP.do?lsiSeq=103582#0000.

Fig. 1.
A small red spot assumed to be an acupuncture needle mark is identified on between the epigastric area and the umbilical area.
kjlm-36-107f1.tif
Fig. 2.
A well defined and collapsed cystic mass is identified on the front of the liver which is nearly located between the epigastric and the umbilical areas.
kjlm-36-107f2.tif
Fig. 3.
2 small localized injuries are spotted on the cystic wall of the mass and the hepatic parenchyma near the mass (close to the border of the mass).
kjlm-36-107f3.tif
Fig. 4.
The cutsurface shows a tract with local hemorrhage and it is connected with the localized injury on the hepatic parenchyma near the mass.
kjlm-36-107f4.tif
TOOLS
Similar articles