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복부동맥류 치료를 위하여 삽입한 혈관 내 스텐트로 인하여 유발된 대동맥 장관루의 혈관조영색전술 치료
고광훈 ( Kwang Hun Ko ),김설영 ( Seul Young Kim ),정일순 ( Il Soon Jung ),김규섭 ( Kyu Seop Kim ),문희석 ( Hee Seok Moon ),성재규 ( Jae Kyu Seong ),정현용 ( Hyun Yong Jeong ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.4
Aortoenteric fistula (AEF) developed after treatment for an abdominal aortic aneurysm (AAA) is a rare but usually fatal complication. We report a rare case of AEF bleeding after endovascular stent grafting for AAA which was managed angiographically. An 81-year-old man presented with hematochezia and acute abdominal pain for 1 day ago. Four years ago, an aortic stent was implanted in the infrarenal aorta for AAA. Endoscopies were performed to evaluate the hematochezia. Evidence of gastrointestinal bleeding was observed, but a clear bleeding point was not detected on upper endoscopy and colonoscopy. Contrast-enhanced computed tomography performed subsequently showed that the bleeding point was located in the fourth portion of the duodenum as an AEF caused by an inflammatory process in the stent-graft. Intra-arterial angiography showed a massive contrast leakage into the bowel via a small fistula from around the aortic stent graft site. Embolization was successfully performed by injecting a mixture of glue and lipiodol into the AEF tract. The patient was discharged with no evidence of gastrointestinal bleeding after the embolization. (Korean J Gastroenterol 2013;61:230-233)
장 게실염에 동반된 녹농균 패혈증에 의한 문맥염 및 간 농양 1예
문윤권 ( Yoon Gwon Mun ),손성완 ( Seong Wan Son ),김민아 ( Minah Kim ),김인수 ( Insoo Kim ),김용희 ( Yong Hee Kim ),정일순 ( Il Soon Jung ),고병성 ( Byeong Seong Ko ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.6
Pylephlebitis, or suppurative thrombophlebitis of the portal venous system, is a rare condition occurring secondary to abdominal infections such as diverticulitis. Pylephlebitis can be diagnosed via ultrasonography or CT scan, and is characterized by the presence of a thrombus in the portal vein and bacteremia. However, the diagnosis may be delayed due to the vague nature of the clinical symptoms, causing morbidity and mortality due to pylephlebitis to remain high. Early diagnosis and immediate antibiotic therapy are important for favorable prognosis. Therefore, pylephlebitis should be considered in the differential diagnosis for cases of nonspecific abdominal pain and fever. We report a case of pylephlebitis secondary to diverticulitis, associated with Pseudomonas aeruginosa sepsis. Such cases have not been widely reported. (Korean J Gastroenterol 2016;67:327-331)