위궤양과 연관된 비장동맥 출혈 1예A Case of Gastric Ulcer Bleeding by Direct Connection to the Splenic Artery
- Other Titles
- A Case of Gastric Ulcer Bleeding by Direct Connection to the Splenic Artery
- Authors
- 장필규; 김윤재; 박동균; 한정윤; 박평화; 김시훈; 우현선; 김정호
- Issue Date
- 2014
- Publisher
- 대한상부위장관ㆍ헬리코박터학회
- Keywords
- Splenic artery; Stomach ulcer
- Citation
- Korean Journal of Helicobacter Upper Gastrointestinal Research, v.14, no.3, pp.211 - 214
- Journal Title
- Korean Journal of Helicobacter Upper Gastrointestinal Research
- Volume
- 14
- Number
- 3
- Start Page
- 211
- End Page
- 214
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/13413
- DOI
- 10.7704/kjhugr.2014.14.3.211
- ISSN
- 1738-3331
- Abstract
- Gastric ulcer bleeding is commonly encountered in emergency situations for gastroenterologist. Usually depth of gastric ulcer does not exceed the muscle layer. We report a case of a 67-year-old male with massive gastric ulcer bleeding caused by direct connection to the splenic artery. Bleeding control was not effectively performed by endoscopy due to massive bleeding with unstable vital sign.
Angiography for embolization was performed. Active extravasation of contrast agents at the splenic artery stenosis was noted on splenic arteriogram. Bleeding stopped after embolization with histoacryl and lipiodol was successfully performed. After 1 month, complete ulcer healing was confirmed by follow up endoscopy. There was no evidence of invasive disease on biopsy.
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