췌장의 동정맥 기형에 의한 십이지장 출혈 1예 |
오세일·이상수·도일노·허내윤·한송이·안정민·최영준·서동완·이성구·김명환 |
울산대학교 의과대학 서울아산병원 내과학교실 |
A Case of Duodenal Ulcer Bleeding caused by Pancreatic Arteriovenous Malformation |
Se Il Oh, M.D., Sang Soo Lee, M.D., Il No Do, M.D., Nae Yun Heo, M.D., Song Yi Han, M.D., Jung Min Ahn, M.D., Young Jun Choi, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D. and Myung-Hwan Kim, M.D. |
Department of Internal Medicine, Asan Medical Center University of Ulsan College of Medicine, Seoul, Korea |
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Abstract |
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Arteriovenous malformation (AVM) of the pancreas is an extremely rare disease. It may be asymptomatic, but more than half of the patients present with gastrointestinal bleeding. The most common cause of the gastrointestinal bleeding is variceal bleeding due to the portal hypertension resulting from AVM. Bleeding from a duodenal ulcer and AVM to the pancreatic duct are rare findings. Surgical excision is the treatment of choice, but when portal hypertension has developed, this cannot be corrected even after surgical resection. We experienced a case of recurrent duodenal ulcer bleeding that was due to arteriovenous malformation in the head of the pancreas in a 45 year old man. He was successfully treated with pylorus preserving pancreaticoduodenectomy. (Korean J Gastrointest Endosc 2005;31:353357) |
Key Words:
Pancreatic arteriovenous malformation, Duodenal ulcer, Gastrointestinal bleeding |
주요어:
췌장의 동정맥 기형, 십이지장 궤양, 위장관 출혈 |
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