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KMID : 1048120200090040184
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International Journal of Gastrointestinal Intervention
2020 Volume.9 No. 4 p.184 ~ p.186
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Angiographic diagnosis and treatment of a splenic artery pseudoaneurysm following endoscopic cystogastrostomy for a pancreatic pseudocyst
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Kim Ji-Eun
Shin Ji-Hoon
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Abstract
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Summary of the Event: A 57-year-old male with chronic pancreatitis presented with an enlarging pseudocyst which was treated with endoscopic ultrasound (EUS)-guided cystogastrostomy. Three days later, he presented with massive hematemesis, and abdominal computed tomography (CT) revealed hemorrhage within both the pseudocyst and the stomach. Endoscopic evaluation was impossible due to the massive amount of hematemesis. Angiography delineated a small pseudoaneurysm with contrast extravasation involving the branch of the splenic artery. Embolization using n-butyl-2 cyanoacrylate was performed leading to the immediate cessation of bleeding.
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KEYWORD
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Aneurysm, false, Interventional ultrasonography, Pancreatic pseudocyst, Therapeutic embolizaiton
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