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Angiographic diagnosis and treatment of a splenic artery pseudoaneurysm following endoscopic cystogastrostomy for a pancreatic pseudocyst

김지은, 신지훈,
소속 상세정보
김지은 ( Kim Ji-Eun ) - University of Ulsan College of Medicine Asan Medical Center Department of Radiology
신지훈 ( Shin Ji-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Radiology

Abstract


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.

키워드

Aneurysm, false; Interventional ultrasonography; Pancreatic pseudocyst; Therapeutic embolizaiton

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