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원위부 십이지장 정맥류의 대량 출혈에 대한 풍선-폐쇄 역행 경정맥 폐쇄술의 장기적인 치료 성공 1예
황순우 ( Soon Woo Hwang ),손주현 ( Joo Hyun Sohn ),김태엽 ( Tae Yeob Kim ),김지연 ( Ji Yeoun Kim ),이지영 ( Ji Young Yhi ),곽동신 ( Dong Shin Kwak ),김해수 ( Hae Su Kim ),송순영 ( Soon Young Song ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.4
Duodenal variceal bleeding in patients with portal hypertension due to cirrhosis or other causes is uncommon. We report on a case of a 55-year-old male with an ectopic variceal rupture at the distal fourth part of the duodenum who presented with massive hematochezia and shock. Shortly after achievement of hemodynamic stability, due to the limitation of an endoscopic procedure, we initially attempted to find the bleeding focus by abdominal computed tomography, which showed tortuous duodenal varices that drained into the left gonadal vein. He was treated with first-line balloon-occluded retrograde transvenous obliteration (BRTO), resulting in a favorable long-term outcome without rebleeding three years later. This case suggests that BRTO may be a first-line therapeutic option for control of ruptured duodenal varices, especially at a distal location.
김지연 ( Ji Yeoun Kim ),유교상 ( Kyo Sang Yoo ),오영하 ( Young Ha Oh ),최종민 ( Jong Min Choi ),이상기 ( Sang Ki Lee ),여유미 ( Yoo Mi Yeo ),황순우 ( Soon Woo Hwang ),윤혜진 ( Hye Jin Yoon ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.1
Autoimmune pancreatitis or IgG4-related sclerosing cholangitis often involves the liver. Most common lesion involving the liver is shown as mass or masses often referred as inflammatory pseudotumor. Inflammatory pseudotumor usually needs to be discriminated with malignancy. Here we report a case of IgG4-related sclerosing cholangitis with liver involvement presented as a mass. It was proven by biopsy and did not show any evidence of autoimmune pancreatitis. The mass infiltrated around the portal tract and portal vein thrombosis was also present. Korean J Pancreatobiliary 2014;19(1):26-30