Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Case Reports of Intravascular Treatment for Gastrointestinal Bleeding Associated with Pancreatitis: Hemosuccus Pancreaticus and Pancreaticocolic Fistula

췌장염에 합병된 위장관 출혈의 혈관내 치료에 대한 증례 보고: Hemosuccus Pancreaticus와 췌장대장루

  • Seong Jae Bae (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Sangjoon Lee (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Yong Hwan Jeon (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Go Eun Yang (Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University) ;
  • Sung-Joon Park (Department of Radiology, Korea University Ansan Hospital) ;
  • Hyoung Nam Lee (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Youngjong Cho (Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 배성재 (강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 이상준 (강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 전용환 (강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 양고은 (강원대학교 의과대학 강원대학교병원 영상의학과) ;
  • 박성준 (고려대학교 안산병원 영상의학과) ;
  • 이형남 (순천향대학교 천안병원 영상의학과) ;
  • 조영종 (울산대학교 의과대학 강릉아산병원 영상의학과)
  • Received : 2021.12.24
  • Accepted : 2022.06.05
  • Published : 2022.11.01
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Abstract

Elderly patients with a history of chronic alcoholism presented to our hospital with episodes of melena, abdominal pain, and anemia. During admission, hemorrhagic cystic lesion at the pancreas was observed on abdominal CT. Transcatheter angiography confirmed active bleeding foci and arterial embolization was performed. After the procedure, the bleeding was resolved. The authors report two cases of hemosuccus pancreaticus and pancreaticocolic fistula associated with pancreatitis, a rare cause of gastrointestinal bleeding, treated with vascular intervention.

고령의 만성 음주력이 있는 환자들이 지속되는 흑색변, 복통과 빈혈을 주소로 내원하였다. 입원하여 시행한 복부 전산화단층촬영상 출혈을 동반한 췌장 낭성 병변이 보였다. 저자들은 카테터 경유 혈관조영술로 명확한 활동성 출혈 소견을 확인하였으며, 동맥색전술을 시행하였다. 시술 이후 출혈 증상은 호전되었다. 저자들은 위장관 출혈의 드문 원인인 췌장염에 합병된 hemosuccus pancreaticus와 췌장대장루를 혈관중재시술을 통해 치료한 2예를 보고하고자 한다.

Keywords

References

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