Korean J Gastrointest Endosc > Volume 31(2); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(2): 130-132.
췌장 두부암 환자에서 발생한 췌관-간문맥 누공 1예
김현정·천영국·문종호·조영덕·김연수·이준성·이문성·심찬섭
순천향대학교 의과대학 내과학교실, 소화기연구소
A Case of Pancreatic Duct-Portal Vein Fistulae in Pancreatic Cancer
Hyun Jeong Kim, M.D., Young Koog Cheon, M.D., Jong Ho Moon, M.D., Young Duck Cho, M.D., June Seong Lee, M.D., Moon Sung Lee, M.D. and Chan Sup Shim M.D.
Institute for Digestive Research, Department of Internal medicine, Soon Chun Hyang University, College of Medicine, Seoul, Korea
Abstract
Pancreatic fistulae follows pancreatic duct disruption and may develop as a complication of pancreatic disease or injury. The escaping fluid may be walled off by the surrounding viscera to form a pseudocyst or an abscess. Fistulae may drain spontaneously into adjacent hollow viscera or communicate with the body surface externally. Although internal pancreatic fistulas that communicate with adjacent internal organs are much less common, vascular communication with the pancreatic ductal system is especially unusual and generally represents a serious clinical situation. We experienced one case of pancreatic duct-portal vein fistula in a patient with pancreatic cancer. Endoscopic retrograde cholangiopancreatography revealed a large vascular structure representing the portal vein filled at the time of the contrast injection, indicating the presence of a pancreatic duct-portal vein fistulae. (Korean J Gastrointest Endosc 2005;31:130⁣133)
Key Words: Pancreatic duct-portal vein fistulae, Pancreatic cancer
주요어: 췌관-문맥 누공, 췌장 두부암
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