A case of successful treatment with transcatheter arterial embolization for a ruptured aneurysm of the gastroduodenal artery presenting with a hemosuccus pancreaticus

• MATSUMOTO Ippei

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• UEDA Takashi

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• AJIKI Tetsuo

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• YASUDA Takeo

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• FUJITA Tsunenori

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• FUJINO Yasuhiro

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• SUZUKI Yasuyuki

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

• KURODA Yoshikazu

  Department of Gastroenterological Surgery, Kobe University, Graduate School of Medical Science

Bibliographic Information

Other Title

• 動脈塞栓術にて救命し得たｈｅｍｏｓｕｃｃｕｓ　ｐａｎｃｒｅａｔｉｃｕｓを呈した胃十二指腸動脈仮性動脈瘤破裂の１例

Abstract

A 55-year-old male heavy drinker was taken to another hospital because of loss of consciousness. Laboratory data showed anemia and endoscopy of the upper gastrointestinal tract disclosed intraduodenal bleeding from the ampulla of Vater. Further examinations were scheduled. However, three days later, he was given emergency admission to our hospital because of massive rectal bleeding and circulatory shock. Abdominal contrast-enhanced CT showed a pseudoaneurysm in a pseudocyst in the head of the pancreas. Emergency angiography revealed a ruptured pseudoaneurysm of the gastroduodenal artery 15 mm in diameter. He was successfully treated with transcatheter arterial embolization. ERCP demonstrated the pseudocyst communicating from the main pancreatic duct in the pancreatic head. The final diagnosis was ruptured pseudoaneurysm of the gastroduodenal artery into a pseudocyst, presenting with hemosuccus pancreaticus, secondary to chronic pancreatitis.<br>

Journal

• Nippon Shokakibyo Gakkai Zasshi

  Nippon Shokakibyo Gakkai Zasshi 103 (12), 1397-1402, 2006

  The Japanese Society of Gastroenterology

Keywords

• 胃十二指腸動脈仮性動脈瘤
• hemosuccus pancreaticus
• 経カテーテル的動脈塞栓術

Details

• CRID: 1390001206400449536
• NII Article ID: 10018687180
• NII Book ID: AN00192124
• DOI: 10.11405/nisshoshi.103.1397
• ISSN: 13497693
• ISSN: 04466586
• Web Site: https://search.jamas.or.jp/link/ui/2007069725
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
  • Crossref
• Abstract License Flag: Disallowed