| 위 점막하종양 출혈로 오인된 비장동맥 가성동맥류 출혈 1예 |
| 이광재ㆍ이태영ㆍ배영석ㆍ김동완ㆍ윤정빈ㆍ배상훈ㆍ김동현ㆍ최석렬* |
| 좋은삼선병원 내과, *동아대학교 의과대학 내과학교실 |
| A Case of Splenic Pseudoaneurysmal Rupture Misrecognized as Bleeding from Gastric Submucosal Tumor |
| Kwang Jae Lee, M.D., Tae Yeong Lee, M.D., Young Seok Bae, M.D., Dong Wan Kim, M.D., Jung Bin Yoon, M.D., Sang Hoon Bae, M.D., Dong Hyun Kim, M.D. and Seok Reyol Choi, M.D.* |
| Department of Internal Medicine, Good Samsun Hospital, *Dong-A University College of Medicine, Busan, Korea |
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| Abstract |
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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. (Korean J Gastrointest Endosc 2010;40:387-390) |
| Key Words:
Splenic artery, Pseudoaneurysm, Submucosal tumor, Embolization |
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