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KMID : 0985520150200010046
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Korean Journal of Pancreas and Biliary Tract
2015 Volume.20 No. 1 p.46 ~ p.50
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A Case of Hemosuccus Pancreaticus Associated with Pseudoaneurysm of Splenic Artery
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Cho Yang-Hyun
Kwon Chang-Il
Jin Sun-Mi
Song Sang-Hee
Park Hyun-jung
Shin Dae-Kyu
Park Pil-Won
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Abstract
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Splenic artery pseudoaneurysm (SAP) is a rare condition, occurring from many causes like pancreatitis, peptic ulcer, surgery, abdominal trauma and iatrogenic origins. SAP poses a great challenge to clinicians because it can lead to a variety of symptoms from abdominal pain, nausea, vomiting to massive bleeding into gastrointestinal tracts as well as abdominal cavity. A 43-year-old female who had previously been managed for alcoholic chronic pancreatitis and thrombotic thrombocytopenic purpura was admitted with hematochezia and dizziness. Patient went into shock from bleeding, however, there was no bleeding focus on initial CT scan and gastroduodenoscopy. Shock occurred repeatedly due to the severe blood loss from gastrointestinal tracts. On the 4th day in hospital, duodenal bleeding was suspected on gastrointestinal bleeding scan and bleeding from ampulla of Vater was found on follow-up gastroduodenoscopy. SAP which causes hemosuccus pancreaticus was diagnosed on angiography and it was treated successfully by embolization.
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KEYWORD
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Splenic artery pseudoaneurysm, Hemosuccus pancreaticus, Angiography, Embolization
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