위장 출혈로 발현한 비장동맥의 가성동맥류 1 예 = A Case of Pseudoaneurysmal Rupture of Splenic Artery into the Stomach

다국어 초록 (Multilingual Abstract)

The most common complications of chronic pancreatitis are pancreatic calcification, diabetes mellitus, steatorrhea, pancreatic pseudocyst and upper gastrointestinal bleeding.
Pesudoaneurysm whether with pseudocyst or nat may cause gasrointestinal bleeding and it is a serious complication. Erosion of visceral artery with pseudoaneurysm formation may bleed into pancreatic duct which is known as $quot;emosuccus Pancreaticus$quot;. On rare occasions, pseudoaneurysm may bleed into adjacent organs (stomach, duodenum, colon).
A 56-year-old man was admitted to Seoul National University Hospital with repeaoted hematemesis. With repeated gastroscopy, we found submucosal tumor like lesion in the stomach. Computed tomography and celiac angiography showed splenic artery pseudoaneurysm, which at operation was found to have ruptured into the stomach. The pseudoaneurysm and spleen were removed and the patient has had no further bleeding.
When gastrointestinal bleeding is associated with chronic pancreatitis and the usual sources of bleeding are not detected by endoscopy, the rupture of a pseudoaneurysm schould be considered as one of the causes.