췌십이지장 동맥류 파열로 인한 후복막 혈종

• Published in: Annals of surgical treatment and research Vol. 68; no. 3; pp. 244 - 246
• Main Authors: 김용석(Yung Suk Kim), 이인규(In Kyu Lee), 이윤석(Yoon Suk Lee), 전해명(Hae Myung Jeun), 장석균(Suk Kyun Chang), 오순남(Soon Nam Oh), 이상훈(Sang Hun Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.03.2005
• Subjects: 일반외과학; 췌십이지장 동맥; Retroperitoneal hematoma; Pancreaticoduodenal artery; 후복막 혈종; 동맥류; Aneurysm
• ISSN: 2288-6575; 2288-6796

A ruptured aneurysm of the pancreaticoduodenal arteries is an emergency condition, with a high mortality rate. Therefore, early diagnosis and adequate management are needed. Recently, treatment with a transcatheter arterial embolization has decreased the mortality rate. A 68-year-old man presented with persistent abdominal pain and dyspnea. Contrast abdominal computed tomography revealed a large retroperitoneal hematoma, with an actively bleeding focus. An urgent celiac and superior pancreaticoduodenal arteriogram showed a contrast extravasation, about 15×8 mm in size, with a saccular aneurysm of the distal anterior superior pancreaticoduodenal artery; therefore transcatheter arterial embolization was performed. The patient's condition improved without complication after the embolization. KCI Citation Count: 0