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KMID : 0371320050680030244
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Journal of the Korean Surgical Society
2005 Volume.68 No. 3 p.244 ~ p.246
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Retroperitoneal Hematoma Caused by Ruptured Pancreaticoduodenal Artery Aneurysm
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김용석/Kim YS
이인규/이윤석/전해명/장석균/오순남/이상훈/Lee IK/Lee YS/Jeun HM/Chang SK/Oh SN/Lee SH
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Abstract
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A ruptured aneurysm of the pancreaticoduodenal arteries is an emergency condition, with a high mortality rate. Therefore, early diagnosis and adequate management are needed. Recently, treatment with a transcatheter arterial embolization has decreased the mortality rate. A 68-year-old man presented with persistent abdominal pain and dyspnea. Contrast abdominal computed tomography revealed a large retroperitoneal hematoma, with an actively bleeding focus. An urgent celiac and superior pancreaticoduodenal arteriogram showed a contrast extravasation, about 15×8 mm in size, with a saccular aneurysm of the distal anterior superior pancreaticoduodenal artery; therefore transcatheter arterial embolization was performed. The patient´s condition improved without complication after the embolization.
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KEYWORD
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