경피적 경비 폐색술을 이용한 십이지장 정맥류 출혈의 치료 1예
Percutaneous Trans-splenic Obliteration for Duodenal Variceal bleeding: A Case Report
김현우, 윤준식, 유승정, 김태헌, 설재헌, 김단, 정준영, 정평화, 권훈, 이홍섭, 이상헌, 최정식, 박성재, 지삼룡, 이연재, 설상영,
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김현우 ( Kim Hyun-Woo )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
윤준식 ( Yoon Jun-Sik )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
유승정 ( Yu Seung-Jung )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
김태헌 ( Kim Tae-Heon )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
설재헌 ( Seol Jae-Heon )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
김단 ( Kim Dan )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
정준영 ( Jung Jun-Young )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
정평화 ( Jeong Pyeong-Hwa )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
권훈 ( Kwon Hoon )
Pusan National University Hospital Department of Radiology
이홍섭 ( Lee Hong-Sub )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
이상헌 ( Lee Sang-Heon )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
최정식 ( Choi Jung-Sik )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
박성재 ( Park Sung-Jae )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
지삼룡 ( Jee Sam-Ryong )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
이연재 ( Lee Youn-Jae )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
설상영 ( Seol Sang-Yong )
Inje University College of Medicine Busan Paik Hospital Department of Internal Medicine
Abstract
Duodenal varices are a serious complication of portal hypertension. Bleeding from duodenal varices is rare, but when bleeding does occur, it is massive and can be fatal. Unfortunately, the optimal therapeutic modality for duodenal variceal bleeding is unclear. This paper presents a patient with duodenal variceal bleeding that was managed successfully using percutaneous trans-splenic variceal obliteration (PTVO). A 56-year-old man with a history of alcoholic cirrhosis presented with a 6-day history of melena. Emergency esophagogastroduodenoscopy revealed a large, bluish mass with a nipple sign in the second portion of the duodenum. Coil embolization of the duodenal varix was performed via a trans-splenic approach (i.e., PTVO). The patient no longer complained of melena after treatment. The duodenal varix was no longer visible at the follow-up esophagogastroduodenoscopy performed three months after PTVO. The use of PTVO might be a viable option for the treatment of duodenal variceal bleeding.
키워드
Duodenum; Varicose veins; Gastrointestinal hemorrhage; Embolization, therapeutic
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