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KMID : 0374920100310010063
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Inje Medical Journal
2010 Volume.31 No. 1 p.63 ~ p.68
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A Case of Pancreatic Pseudoaneurysm after Endoscopic Sphincterotomy
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Park Su-Young
Kim Yoon-Jung
Park Jin-Han
Jun Hyun-Soo
Park Si-Hyung
Lee Young-Jin
Lee Eun-Ji
Kim Ji-Hyun
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Abstract
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We reported a case of pancreatic pseudoaneurysm, involving pancreaticoduodenal artery, developed after endoscopic retrograde cholangiopancreatography(ERCP) with endoscopic sphinterotomy. A 54 year old woman was transferred to our hospital due to sustained hematochezia and hypovolemia. A week before admission, she underwent ERCP with endoscopic sphinterotomy for acute cholangitis in local clinics. She developed abdominal pain and hematochezia at 12 hours after the procedures. A post procedure contrast enhanced computed tomography of abdomen demonstrated a pseudoaneurysm in inferior portion of pancreatic head. This was not present on the pre procedure contrast enhanced computed tomography of abdomen and was thought to arise from the pancreaticoduodenal artery as a complication of the pre sphincterotomy. She was brought to our emergency room in a state of hypovolemia. A upper endoscopy showed active bleeding from ampula of vater. An celiac angiography demonstrated pancreatic pseudoaneurysm involving inferior pancreaticoduodenal artery and selective coil embolization of was performed.
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KEYWORD
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ERCP, Endoscopic sphinterotomy, Pseudoaneurysm
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