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Korean J Pancreas Biliary Tract > Volume 18(4):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(4):29-33. doi: https://doi.org/10.15279/kpba.2013.18.4.29
내시경 초음파를 통해 파열 전 진단된 췌십이지장 동맥류 1 예
김용훈1, 김혜원1, 조장호1, 이민영1, 이경화1, 윤지은2, 장성일1, 이동기1
연세대학교의과대학내과학교실, 2한국생명공학연구원"
A Case Of Pancreaticoduodenal Aneurysm Diagnosed By Endoscopic Ultrasound Before Rupture
Yong Hoon Kim1, Hae won Kim1, Jang Ho Cho1, Min Young Lee1, Kyoung Hwa Lee1, Ji eun Yun2, Sung Ill Jang1, Dong Ki Lee1
1Department of Internal Medicine,Yonsei University College of Medicine, Seoul, Korea,2Department of Bioevaluation Center, Korea Research Institute of Bioscience and Biotechnology, Cheongwon, Korea
ABSTRACT
Pancreaticoduodenal artery (PDA) aneurysm is a rare disease without any distinct physical characteristics which makes detection extremely difficult unless ruptured. Although most lesions have been diagnosed with their rupture, rate of incidental discovery is increasing with the recent advances in imaging modality and by frequent medical examination. Ruptured PDA aneurysm can be fatal and has high rate of mortality, hence proper treatment based on precise diagnosis is crucial. Although angiography is a modality of choice both for diagnosis and treatment at the time of rupture, endoscopic ultrasound (EUS) can help differentially diagnose aneurysm from pancreatic mass. Authors have experienced a case of PDA aneurysm, which presented with abdominal pain and was diagnosed with computed tomography and EUS at an uncomplicated status. As the patient was treated by percutaneous arterial embolization without any complication, we report the case with the review of literature
Keywords: pancreaticoduodenal artery aneurysm, unr uptured, endoscopic ultrasound
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