복부둔상 후 발생한 상장간막동맥 가성동맥류의 지연출혈
Delayed Gastrointestinal Bleeding from Traumatic Superior Mesenteric Artery Pseudoaneurysm
김광식, 장원영, 이창현, 최국명, 허규희,
소속 상세정보
김광식 ( Kim Kwang-Sig )
제주대학교병원 외과
장원영 ( Chang Weon-Young )
제주대학교병원 외과
이창현 ( Lee Chang-Hyun )
제주대학교병원 외과
최국명 ( Choi Guk-Myung )
제주대학교 의학전문대학원 진단방사선과학교실
허규희 ( Her Kyu-Hee )
제주대학교병원 외과
KMID : 0371320040660060523
Abstract
Acute onset of shock presented in a 23 years old male patient due to gastrointestinal bleeding. He had been in a car crash 49 days before presentation. On initial presentation, a small amount of intraperitoneal hemorrhage had been seen on a CT scan. An emergency selective superior mesenteric artery (SMA) arteriography revealed a pseudoaneurysm in the branch of SMA, but successive embolization of the terminal branch, controlled the bleeding. It is hard to initially diagnose an aneurysm as the cause of spontaneous gastrointestinal bleeding in a patient that has suffered an abdominal trauma, so it poses a therapeutic challenge. Recognition of an aneurysm, and its early diagnosis based on the patient´s past history, and its adoption as a judicious diagnostic tool are essential in the management of such patients.
키워드
상장간막동맥 가성동맥류;지연장출혈;복부둔상;Superior mesenteric artery pseudoaneurysm;Delayed gastrointestinal bleeding;Blunt abdominal trauma
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