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KMID : 0985520160210010055
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Korean Journal of Pancreas and Biliary Tract
2016 Volume.21 No. 1 p.55 ~ p.60
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Intramural Duodenal Hematoma after Transpancreatic Septotomy during ERCP: A Case Report and Literature Review
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김정곤:Kim Jung-Gon
백우현:Paik Woo-Hyun/김재형:Kim Jae-Hyung/김정욱:Kim Jong-Wook/배원기:Bae Won-Ki/김남훈:Kim Nam-Hoon/김경아:Kim Kyung-Ah/이준성:Lee June-Sung
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Abstract
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Transpancreatic septotomy is known to improve the success rate of selective bile duct cannulation in endoscopic retrograde cholangiopancreatography. Recent retrospective study reported that transpancreatic septotomy is more effective and safer than needle knife sphincterotomy. Herein, we report a case of patient with gallstone pancreatitis who suffered from intramural duodenal hematoma after transpancreatic septotomy that caused obstruction of the duodenum and hypovolemic shock. The intramural hematoma improved after conservative management. The rare adverse event such as intramural duodenal hematoma seems to be considered after transpancreatic septotomy, especially when acute pancreatitis is accompanied.
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KEYWORD
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ERCP, Adverse event, Intramural duodenal hematoma, Transpancreatic septotomy, Pancreatitis
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