경도관색전술로 치료한 위십이지장동맥의 가성동맥류 파열 1예

Pseudoaneurysm of the gastroduodenal artery unusually causes gastrointestinal hemorrhage, particularly in patients without chronic pancreatitis and pseudocysts. Because the ruptured pseudoaneurysm have high morbidity and mortality, early detection is critical for the proper treatment. Among the treatment modality for such bleeding, surgical intervention is associated with high mortality. On the other hand, transcatheter embolization is considered as a sate and effective method and thus, it is preferred as an initial therapy. We report a case of patient with ruptured pseudoaneurysm of the gastroduodenal artery, who presented with hematemesis and a large pulsatile epigastric mass. The diagnosis was established with contrasted abdominal computed tomography scanning and complete occlusion of the aneurysmal orifice was successfully achieved by transcatheter embolization using gelfoam and stainless steel coils. (Kor J Gastroenterol 2000;35:796 - 800)