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KMID : 0359020100410010031
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 1 p.31 ~ p.35
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A Case of Successful Embolization with Superselection by Endoscopic Hemoclipping for Pseudoaneurysmal Bleeding in a Patient with Pylorus Preserving Pancreaticoduodenectomy
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Kim Yong-Hun
Kwon Chang-Il
Joo Sae-Kyung
Kim Won-Hee
Bin Hong-Gern
Kim Man-Deuk
Hwang Seong-Gyu
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Abstract
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Arterial bleeding after pancreaticoduodenectomy is a very serious complication with high mortality. Therefore, early diagnosis and treatment is essential. In particular, early detection and immediate embolization can be effectively used for the delayed massive bleeding that occurs from a pseudoaneurysmal rupture. However, sometimes intermittent bleeding or a vessel spasm can cause the bleeding focus to remain unidentified in spite of repeated angiography. We experienced a case of successful embolization with superselection by endoscopic hemoclipping in a patient who underwent pylorus preserving pancreaticoduodenectomy, and the patient’s bleeding focus was not found after repeated angiography. Endoscopic hemoclip application can be useful for localizing a pseudoaneurysmal rupture in patients with pancreaticoduodenectomy.
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KEYWORD
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Pseudoaneurysm, Pancreaticoduodenectomy, Hemoclip, Embolization
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