위 내로 파열된 출혈성 췌장 가성낭종 1예
Rupture of a Bleeding Pancreatic Pseudocyst into the Stomach: a Case Report
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
췌장 가성낭종은 췌장염의 합병증으로 잘 알려져 있으나 주변 장기로의 자연적인 천공이나 췌장루의 발생은 드물다. 천공은 복강이나 위, 십이지장, 대장, 간정맥, 흉강, 그리고 복벽을 통해 어디서든 발생할 수 있으며, 일반적으로 위나 소장에 발생한 천공은 배액이나 수술을 하지 않고 치료한다. 췌장염의 합병증인 가성동맥류나 가성낭종의 파열은 드물지만 심각한 상부위장관 출혈을 일으킬 수 있으며, 비장 가성동맥류를 동반한 췌장 가성낭종이 위벽으로 파열되어 대량의 상부위장관 출혈을 일으킨 예는 국내에 보고된 바 없다. 저자들은 비장 가성동맥류를 동반한 췌장 가성낭종의 파열에 의한 상부위장관 출혈을 동맥류 코일색전술 및 보존적 치료로 호전시킨 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Pancreatic pseudocyst is a well-known complication of pancreatitis. However spontaneous perforation and/or fistularization is rare. Perforations into the free peritoneal cavity, stomach, duodenum, colon, portal vein, pleural cavity, and through the abdominal wall have been reported. Rupture of pseudoaneurysm or bleeding pseudocyst following pancreatitis is a severe complication that can lead to massive gastrointestinal bleeding. Especially, rupture of a bleeding pseudocyst into the stomach combined with splenic artery pesudoaneurysm is very rare. We experienced a case of massive bleeding from pancreatic pseudocyst with pseudoaneurysmal rupture into the stomach which was controlled nonoperatively by splenic artery coil embolization and conservative treatment. We report the case with the literatures review.
참고문헌 (17)
- "Management of complications of pancreatitis", 35, pp.1~98 (1988)
- "Upper gastrointestinal hemorrhage from pancreatic pseudocyst involving the duodenum", 29, pp.217~221 (2004)
- "A case of pancreatico-gastric fistula after chronic relapsing pancreatitis", 33, pp.864~869 (1999)
- "The treatment of pancreatic pseudocysts by external drainage", 148, pp.707~710 (1979)
- "The natural history of pancreatic pseudocysts:a unified concept of management", 137, pp.135~141 (1979)
- "Spontaneous internal drainage of pancreatic pseudocysts", 126, pp.985~991 (1976)
- "The CIBA collection of medical illustration" (1990), CIBA
- "Acute gastrointestinal bleeding as a complication of pancreatic pseudocysts", 38, pp.75~77 (1991)
- "Rupture of a bleeding pancreatic pseudocyst into the stomach", 9, pp.383~385 (2002)
- "A case of cystoduodenal and cystocolic fistula complicated in pancreatic pseudocyst", 33, pp.730~734 (1999)
- "Rupture of pancreatic cysts.Report of a case and review of the literature", 47, pp.495~498 (1960)
- "Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis", 118, pp.45~51 (1983)
- "Patterns of hemorrhage into pancreatic pseudocysts", 15, pp.774~ (1968)
- "Major hemorrhage from pseudocysts and pseudoaneurysms caused by chronic pancreatitis:surgical therapy", 15, pp.649~653 (1991)
- "A case of embolization therapy for major hemorrhage from pancreatic pseudocyst", 24, pp.897~900 (1992)
- "Major gastrointestinal hemorrhage from peripancreatic vessels in pancreatitis.Treatment by embolotherapy", 29, pp.486~497 (1984)
- "Successful treatment of bleeding pseudoaneurysms of chronic pancreatitis", 10, pp.22~30 (1995)