| 십이지장 유두부의 활동성 출혈을 보인 Hemosuccus Pancreaticus 1예 |
| 손현배·문영수·양전호·함초롬·이석현·류 웅·노재욱·이상은·김경아·한윤희* |
| 인제대학교 의과대학 일산백병원 내과학교실, *방사선학교실 |
| A Case of Hemosuccus Pancreaticus Showing Active Bleeding from the Ampulla of Vater |
| Hyun Bae Son, M.D., Young-Soo Moon, M.D., Jeon Ho Yang, M.D., Cho-Rhom Ham, M.D., Seuk Hyun Lee, M.D., Ung Ryu, M.D., Jea Wook Roh, M.D., Sang Eun Lee, M.D., Kyung-Ah Kim, M.D. and Yun Hee Han, M.D.* |
| Departments of Internal Medicine and *Radiology, Ilsan Paik Hospital, Inje University, College of Medicine, Goyang, Korea |
|
|
|
|
| Abstract |
|
|
Hemorrhage through the pancreatic duct into the duodenum, so called 'hemosuccus pancreaticus', is a rare cause of gastrointestinal bleeding with diagnostic difficulties. We report a 44-year-old man with recurrent upper gastrointestinal bleeding due to rupture of pseudoaneurysm into the pancreatic duct. Initial upper gastrointestinal endoscopy failed to identity the site of the hemorrhage. Active bleeding from the ampulla of Vater in duodenum was found on repeat endoscopy. Abdominal computed tomography disclosed pseudoaneurysm arising from the splenic artery caused by chronic pancreatitis. Splenic angiogram showed large psudoaneurysmal sac with wide neck, arising from distal splenic artery. Angiographic embolization was successful in controlling the arterial hemorrhage. The patient remained symptom-free 5 months after the embolization. Hemosuccus pancreaticus, although rare, remains important in the differential diagnosis of upper gastrointestinal bleeding of obscure orgin. (Korean J Gastrointest Endosc 2004;28:267272) |
| Key Words:
Hemosuccus pancreaticus, Rupture of pseudoaneurysm, Chronic pancreatitis |
| 주요어:
Hemosuccus pancreaticus, 만성 췌장염, 가성동맥류 파열 |
|
|
PDF Links
Full text via DOI 
Download Citation 
