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KMID : 0931320140140030211
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 3 p.211 ~ p.214
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A Case of Gastric Ulcer Bleeding by Direct Connection to the Splenic Artery
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Jang Pil-Kyu
Kim Yoon-Jae
Park Dong-Kyun
Han Jung-Yoon
Park Pyung-Hwa
Kim Si-Hun
Woo Hyun-Sun
Kim Jeong-Ho
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Abstract
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Gastric ulcer bleeding is commonly encountered in emergency situations for gastroenterologist. Usually depth of gastric ulcer does not exceed the muscle layer. We report a case of a 67-year-old male with massive gastric ulcer bleeding caused by direct connection to the splenic artery. Bleeding control was not effectively performed by endoscopy due to massive bleeding with unstable vital sign. Angiography for embolization was performed. Active extravasation of contrast agents at the splenic artery stenosis was noted on splenic arteriogram. Bleeding stopped after embolization with histoacryl and lipiodol was successfully performed. After 1 month, complete ulcer healing was confirmed by follow up endoscopy. There was no evidence of invasive disease on biopsy.
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KEYWORD
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Splenic artery, Stomach ulcer
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Listed journal information
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