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소아 가성비잔동맥 파열의 동맥색전술 치험 1예

Other Titles
 Arterial embolization for the ruptured splenic artery pseudoaneurysm in a child 
Authors
 한석주  ;  이도연  ;  한애리  ;  최기홍  ;  오정탁  ;  최승훈  ;  황의호 
Citation
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.6(2) : 143-148, 2000 
Journal Title
Journal of the Korean Association of Pediatric Surgeons(소아외과)
ISSN
 1225-9047 
Issue Date
2000
Keywords
Pancreatitis ; Pancreatic pseudocyst ; Pseudoaneurysm of splenic artery ; Transcatheter arterial embolization
Abstract
Pseudoaneurysm of the splenic artery may arise from a vascular erosion by a surrounding inflammatory processes in acute and chronic pancreatitis. Rupture of the pseudoaneurysm may threaten the patient's life. Conservative management for massive hemorrhage may cause 100 percent mortality and even with prompt therapy there is a high mortality. Preoperative detection of bleeding source is desirable because of the difficult identification of the bleeding site at laparotomy. Angiographic identification and embolization of the hemorrhagic vessels in selected cases may obviate the risk of urgent surgery. The authors have recently managed a case of ruptured splenic artery pseudoaneurysm combined with a pancreatic pseudocyst in a 6 years old boy. A bolus enhanced CT scan and angiography confirmed the diagnosis. We managed this child successfully with the urgent transcatheter arterial embolization followed by elective surgery.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
Choi, Seung Hoon(최승훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172167
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