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총간동맥 가성동맥류의 치료로 삽입한 스텐트 그라프트의 공장으로의 위치 이동

Jejunal Migration of the Stent-Graft Used for Common Hepatic Artery Pseudoaneurysm

  • 김지원 (한국원자력의학원 원자력병원 영상의학과) ;
  • 이병희 (한국원자력의학원 원자력병원 영상의학과)
  • Jiwon Kim (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Byung-Hee Lee (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • 투고 : 2021.01.12
  • 심사 : 2021.04.13
  • 발행 : 2022.01.01

초록

췌장-담도계 수술 후에 발생하는 합병증 중에 출혈은 드물지만 사망률이 높은 합병증이다. 출혈의 주요 원인은 가성동맥류의 파열이며, 코일색전술 혹은 혈관 내 스텐트 그라프트 삽입술이 효과적인 치료 방법으로 알려져 있다. 저자들은 유문부 보존 췌두부십이지장절제술 이후 발생한 총간동맥의 가성동맥류의 치료를 위해 삽입한 스텐트 그라프트가 공장으로 이동한 후 몸 밖으로 빠져나간 사례를 보고하고자 한다.

Hemorrhage after pancreaticobiliary surgery is an infrequent but fatal complication. It is primarily caused by rupture of the pseudoaneurysm, and treatment options include endovascular coil embolization or endovascular stent-graft placement. Herein, we report a case of migration of an arterial stent-graft that was placed in the common hepatic artery to treat pseudoaneurysm after pylorus-preserving pancreaticoduodenectomy. The stent-graft migrated to the jejunum and was eventually excreted from the body.

키워드

참고문헌

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