直腸癌術後に発症した下膵十二指腸動脈瘤破裂の1例

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  • RUPTURE OF AN ANEURYSM OF THE INFERIOR PANCREATICODUODENAL ARTERY OCCURRED AFTER OPERATION FOR ARECTAL CANCER -A CASE REPORT-

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A case of rupture of an aneurysm of the pancreaticoduodenal artery which occurred 2 years and 4 months after operation for a rectal cancer was successfully managed by transcatheter arterial embolization therapy.<br> A 62-year-old man who had no previous history of pancreatitis nor arteriosclerosis had an uneventful course after an operation for a rectal cancer. With a diagnosis of phlebothrombosis of the left lower limb, oral administration warfarin pottasium 3.0mg/day was started when it passed one year and 9months after the operation, and at the same time increases in CEA and CA19-9 were noted. Recurrence was suspected and oral administration of doxifluridine 1200mg/day was also started. Thereafter no particular problems arose, however, the patient was seen at the hospital in shock state because of abrupt massive anal bleeding. Emergency angiography offered a diagnosis of gastrointestinal bleeding due to rupture of an aneurysm of the inferior pancreaticodudenal artery. So an embolization via metal coil was conducted. The patient was able to relived from the shock state and anal bleeding disappeared thereafter. However, the patient died of local recurrence as of 6months after the embolization or 2years and 9months after the operation for the rectal cancer.

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