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- Title
비장동맥의 가성동맥류에서 기인한 hemosuccus pancreaticus 1예.
- Authors
조양현; 권창일; 진선미; 송상희; 박현정; 신대규; 박필원
- Abstract
Splenic artery pseudoaneurysm (SAP) is a rare condition, occurring from many causes like pancreatitis, peptic ulcer, surgery, abdominal trauma and iatrogenic origins. SAP poses a great challenge to clinicians because it can lead to a variety of symptoms from abdominal pain, nausea, vomiting to massive bleeding into gastrointestinal tracts as well as abdominal cavity. A 43-year-old female who had previously been managed for alcoholic chronic pancreatitis and thrombotic thrombocytopenic purpura was admitted with hematochezia and dizziness. Patient went into shock from bleeding, however, there was no bleeding focus on initial CT scan and gastroduodenoscopy. Shock occurred repeatedly due to the severe blood loss from gastrointestinal tracts. On the 4th day in hospital, duodenal bleeding was suspected on gastrointestinal bleeding scan and bleeding from ampulla of Vater was found on follow-up gastroduodenoscopy. SAP which causes hemosuccus pancreaticus was diagnosed on angiography and it was treated successfully by embolization.
- Publication
Korean Journal of Pancreas & Biliary Tract / Daehan Chwedamdo Haghoeji, 2015, Vol 20, Issue 1, p46
- ISSN
1976-3573
- Publication type
Article
- DOI
10.15279/kpba.2015.20.1.46