Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지

A Case of Splenic Pseudoaneurysmal Rupture Misrecognized as Bleeding from Gastric Submucosal Tumor

위 점막하종양 출혈로 오인된 비장동맥 가성동맥류 출혈 1예

  • Received : 2010.02.02
  • Accepted : 2010.05.03
  • Published : 2010.06.30
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Abstract

Splenic arterial pseudoaneurysm is an uncommon life-threatening complication of acute and chronic pancreatitis. Pseudoaneurysm can lead to massive bleeding into the abdominal cavity and the retroperitoneum. Less commonly, it may rupture directly into the stomach, small bowel or pancreatic duct and may present as an acute gastrointestinal hemorrhage. It can be diagnosed by various imaging modalities including computerized tomography, ultrasound and angiography. Percutaneous transvascular embolization of the pseudoaneurysm is one of the alternative treatment methods. Here we present a case of splenic arterial pseudoaneurysmal rupture misrecognized as bleeding from a gastric submucosal tumor in patient with hematemesis. We also review the literature.

비장동맥의 가성동맥류는 급성 및 만성 췌장염의 드문 합병증으로서 대부분 무증상이지만 파열되면 복강, 후복강 또는 위장관으로 대량출혈을 일으킴으로써 치명적일 수 있다. 가성동 맥류가 위벽을 침범한 경우 상부위장관 내시경검사에서 위 점막하종양으로 보일 수 있다. 저자들은 토혈을 주소로 내원한 환자에서, 위 점막하종양 출혈로 오인하였으나, 비장동맥의 가성동맥류가 위장으로 출혈한 것임을 확인하여 색전술로 치료한 1예를 문헌고찰과 함께 보고한다.

Keywords

References

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