Korean J Gastrointest Endosc > Volume 39(1); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(1): 34-37.
경피 내시경하 위루술 후 발생한 좌위동맥 가성동맥류 파열 1예
홍성훈ㆍ차재명ㆍ이정일ㆍ주광로ㆍ정성원ㆍ신현필ㆍ남덕호*
경희대학교 의과대학 내과학교실, *영상의학교실
A Case of Ruptured Left Gastric Artery Pseudoaneurysm Complicating Percutaneous Endoscopic Gastrostomy (PEG)
Seong Hun Hong, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D. and Deok Ho Nam, M.D.*
Departments of Internal Medicine and *Radiology, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Percutaneous endoscopic gastrostomy (PEG) is an effective method for delivering enteral nutrition to patients with dysphagia, cerebrovascular accidents, Parkinsonnism, dementia, and head and neck cancer. PEG is generally regarded as safe and it is associated with low risks of morbidity and mortality. The complications of the PEG are known to be mostly minor and they include wound infection, gastric leakage, bleeding, ileus, pneumoperitoneum and aspiration pneumonia. We recently experienced a ruptured pseudoaneurysm of the left gastric artery, which was occurred as a complication during PEG insertion in a 73-year-old female. To the best of our knowledge, this is the first case report in Korea about successful angiographic embolization for a ruptured pseudoaneurysm of the left gastric artery and this was associated with a PEG procedure. (Korean J Gastrointest Endosc 2009;39:34-37)
Key Words: Percutaneous endoscopic gastrostomy, Left gastric artery, Pseudoaneurysm, Angiographic embolization
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