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KMID : 0882420050680040436
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Korean Journal of Medicine
2005 Volume.68 No. 4 p.436 ~ p.440
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A case of hemosuccus pancreaticus in arteriovenous malformation
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정우진:Jeong Woo-Jin
손정민:Son Jung-Min/김광하:Kim Gwang-Ha/허정:Heo Jeong/강대환:Kang Dae-Hwan/송근암:Song Geun-Am/조몽:Cho Mong
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Abstract
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Hemosuceus pancreaticus describes the syndrome of gastrointestinal bleeding into the pancreatic
duct, manifested by blood loss through the ampulla of Vater. Pancreatic arteriovenous malformation
(AVM), while extremely rare, are frequently complicated by gastrointestinal bleeding. §
Endoscopy is essential to rule out other causes of upper gastrointestinal bleeding. In rare cases,
active bleeding is seen from the duodenal ampulla. Selective celiac angiography is the only diagnostic
test. Angiography is always necessary to facilitate tactics of treatment, even if diagnosis has been
established by non-invasive imaging modalities.
To obtain complete regression, total extirpation of the affected organ, or at least the involved
portion, should be performed before this disease leads to the lethal complications of gastrointestinal
bleeding and portal hypertension. Transcatheter arterial embolization is the only alternative treatment
for the control of hemorrhage
We experienced a patient with upper gastrointestinal bleeding in which the diagnosis of |
hemosuccus pancreaticus secondary to a AVM in chronic pancreatitis was diagnosed preoperatively.
We report our experience with a review of literatures.(Korean J Med 68:436-440, 2005)
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KEYWORD
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Hemosuccus pancreaticus, HP, Arteriovenous malformation, AVM
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