経カテーテル的動脈塞栓術にて治癒しえた下膵十二指腸動脈を責任血管とするhemosuccus pancreaticusの1例

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  • A case of hemosuccus pancreaticus with inferior pancreaticoduodenal artery pseudoaneurysm successfully treated with transcatheter arterial embolization

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A 44-year-old man with a history of chronic pancreatitis was admitted to the local hospital because of a severe back pain. The patient presented with sudden hematemesis on the day after admission and bleeding from the papilla vater was confirmed after an emergency esophagogastroduodenoscopy. Contrast CT and MR angiography revealed a pseudocyst, associated with chronic pancreatitis, in contact with the inferior pancreaticoduodenal artery (IPDA) that was bleeding into the cyst; the patient was then referred to our hospital. Dynamic CT clearly revealed a pseudoaneurysm of 7.7mm in diameter seen in the IPDA. We performed transcatheter arterial embolization (TAE) to control the bleeding. The distal and proximal segments of the pseudoaneurysm were embolized with tornado micro coil. The patient was discharged without postoperative complications. HP is relatively rare, and few have reported pseudoaneurysm of the IPDA as the cause.<br>

収録刊行物

  • 膵臓

    膵臓 27 (5), 710-715, 2012

    一般社団法人 日本膵臓学会

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