A Case of traumatic Pancreatic Pseudoaneurysm.
- Author:
Seung Ho LEE
1
;
Chong Oh PARK
;
Sung Bae LEE
;
Hwa Jeong HONG
;
Wook Sun CHOI
;
Seok Ho DONG
;
Byung Ho KIM
;
Young Woon CHANG
;
Hyo Jong KIM
;
Jung Il LEE
;
Rin CHANG
Author Information
1. Department of Internal Medicine, Kyung Hee University Shool of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pancreas;
Pseudoaneurysm;
Trauma
- MeSH:
Abdomen;
Adult;
Aneurysm, False*;
Angiography;
Drainage;
Duodenum;
Gastrointestinal Hemorrhage;
Head;
Humans;
Incidence;
Melena;
Mesenteric Artery, Superior;
Mortality;
Pancreas;
Sutures;
Tomography, X-Ray Computed;
Vena Cava, Inferior;
Wounds and Injuries
- From:Korean Journal of Gastrointestinal Endoscopy
1997;17(3):448-452
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In spite of advances in the management of the victim of trauma, the reported incidence of mortality and significant morbidity after pancreatic and/or duodenal injuries is still remained high. The key to treatment is thought to be early, accurate evaluation and proper management according to the degree of injury. We experienced a case of 26-year-old man who had melena after surgery for gun-shot wound of abdomen. In operation, it was noted that duodenum, superior mesenteric artery, and inferior vena cava were lacerated. He was treated by primary suture and drainage. But, 9 months later, hematochezia was developed. Duodenoscopic findings showed buldging mass with blood oozing at the medial side of duodenum second portion. Abdominal CT and angiography revealed pseudoaneurysm of superior mesenteric artery in the pancreas head. The surgery was postponed because severe adhesion between adjacent structures and pseudoaneurysm was suspected. So we decided medical treatment for him and melena was stopped spontaneously. We report this case with a review of literatures.
