학술논문

A case of ruptured gastroduodenal arterial pseudoaneurysm with penetration to the duodenum, successfully treated with transcatheter arterial embolization / 動脈塞栓術が有効であった胃十二指腸仮性動脈瘤十二指腸内穿破の1例
Document Type
Journal Article
Source
日本消化器病学会雑誌 / Nippon Shokakibyo Gakkai Zasshi. 2007, 104(10):1498
Subject
動脈塞栓術
十二指腸内穿破
胃十二指腸仮性動脈瘤
Language
Japanese
ISSN
0446-6586
1349-7693
Abstract
A 77-year-old man, who underwent segmental pancreatectomy for intraductal papillary mucinous adenoma in 2001, was referred to our hospital with complaints of hematemesis and melena on January, 2004. Emergency upper gastrointestinal endoscopy showed a pulsating submucosal protrusion in the duodenal bulb, which was identified as a gastroduodenal arterial aneurysm measuring 1.5cm on abdominal CT imaging. Transcatheter arterial embolization of the aneurysm with metallic coils was successfully performed. Periodically repeated endoscopic examination has revealed the coils protruding into the duodenal lumen without any serious complication.