한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제14권2호
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  • Pages.120-124
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  • 2010
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  • 2508-5778(pISSN)
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  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
권호 표지

비장동맥 가성동맥류가 합병된 출혈성 췌장가성낭종에 의한 상부위장관 대량출혈 1예

A Gastric Hemorrhage through the Fistula between Stomach and Pancreatic Pseudocyst with Ruptured Splenic Artery Pseudoaneurysm : A Case Report

  • 정금오 (원광대학교 의과대학 외과학교실) ;
  • 박동은 (원광대학교 의과대학 외과학교실) ;
  • 채권묵 (원광대학교 의과대학 외과학교실) ;
  • 박상현 (원광대학교 의과대학 영상의학교실)
  • Jung, Gum-O (Department of Surgery, Wonkwang University Collage of Medicine) ;
  • Park, Dong-Eun (Department of Surgery, Wonkwang University Collage of Medicine) ;
  • Chae, Kwan-Mook (Department of Surgery, Wonkwang University Collage of Medicine) ;
  • Park, Sang-Hyun (Department of Radiology, Wonkwang University Collage of Medicine)
  • 발행 : 2010.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

Pancreatic pseudocysts are a common complication of both acute and chronic pancreatitis. But fistular formation or spontaneous perforation of a pancreatic pseudocyst through adjacent organs is rare. Even rarer is bleeding through the fistula between stomach and pancreatic pseudocyst with splenic artery pseudoaneurysm. Therapeutic modalities for ruptured splenic artery pseudoaneurysm with pancreatic pseudocyst include surgical correction and/or angiographic intervention likely splenic artery embolization. However, there seem to be a debate about which treatments are superior. We experienced a case of massive gastric bleeding through a gastrocystic fistula that was controlled surgically by distal pancreatectomy and gastric wedge resection. We report the case with a literature review.

키워드

참고문헌

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