십이지장 출혈로 발현한 췌장 가성낭종 1예
A Case of Pancreatic Pseudocyst Presenting as Duodenal Bleeding
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초록
췌장의 가성낭종은 췌장염에 의하여 흔히 발생하는 합병증으로 대개 췌장 내부나 췌장의 주위조직에 발생한다. 합병증으로는 감염, 주위내장이나 복강 내로의 파열, 누공, 장관폐쇄, 출혈 등이 발생하며, 가성낭종에 의한 출혈은 상부위장관 출혈의 드문 원인중의 하나이지만, 위험한 합병증이다. 저자들은 혈변을 주소로 내원한 만성 췌장염 환자에서 십이지장 점막하종양 출혈로 오인하였다가 췌장 가성낭종이 십이지장의 유두부를 침범하여 이로 인해 유발된 상부위장관 출혈로 진단하였으며, 보존적 치료로 호전된 1예를 경험하였기에 보고하고자 한다.
Abstract
Pancreatic pseudocysts occur following acute pancreatitis, chronic pancreatitis or secondary to pancreatic trauma. Most pancreatic pseudocysts are located in or around the pancreas, but they can be found in all the potential spaces around viscera in and outside of the abdominal cavity. The complications of pancreatic pseudocyst are infection, rupture, obstruction, fistula, or hemorrhage. Hemorrhage is a rare but frequently fatal complication of pancreatic pseudocysts. We report a case of pancreatic pseudocyst presented as bleeding of duodenum, which was misidentified for duodenal submucosal tumor bleeding. (Korean J Med 2012;82:713-717)
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