Korean Journal of Gastrointestinal Endoscopy 2005;31(4): 273-277.
위 내로 파열된 출혈성 췌장 가성낭종 1예
김영돈·나병규·황정원·홍현일·윤성규·한군희·최혜영·김광석·안재홍*·천갑진
울산대학교 의과대학 강릉아산병원 내과, *진단방사선과
Rupture of a Bleeding Pancreatic Pseudocyst into the Stomach: a Case Report
Young Don Kim, M.D., Byung Kyu Nah, M.D., Jung Won Hwang, M.D., Hyun Il Hong, M.D., Sung Kyu Yoon, M.D., Koon Hee Han, M.D., Hye Young Choi, M.D., Kwang Seok Kim, M.D., Jae Hong Ahn, M.D.* and Gab Jin Cheon, M.D.
Departments of Internal Medicine, *Diagnostic Radiology, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea
Abstract
Pancreatic pseudocyst is a well-known complication of pancreatitis. However spontaneous perforation and/or fistularization is rare. Perforations into the free peritoneal cavity, stomach, duodenum, colon, portal vein, pleural cavity, and through the abdominal wall have been reported. Rupture of pseudoaneurysm or bleeding pseudocyst following pancreatitis is a severe complication that can lead to massive gastrointestinal bleeding. Especially, rupture of a bleeding pseudocyst into the stomach combined with splenic artery pesudoaneurysm is very rare. We experienced a case of massive bleeding from pancreatic pseudocyst with pseudoaneurysmal rupture into the stomach which was controlled nonoperatively by splenic artery coil embolization and conservative treatment. We report the case with the literatures review. (Korean J Gastrointest Endosc 2005;31:273277)
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