Investigative Magnetic Resonance Imaging

  • 제18권2호
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  • Pages.171-175
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  • 2014
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  • 2384-1095(pISSN)
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  • 2384-1109(eISSN)
대한자기공명의과학회 (Korean Society of Magnetic Resonance in Medicine)
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자기공명영상을 이용하여 비침습적으로 진단된 췌장 가성낭종과 간문맥 사이의 누공: 증례 보고

Non-invasive MR Demonstration of the Fistula between Pancreatic Pseudocyst and Portal Vein: A Case Report

  • 김성민 (대구가톨릭대학교 의과대학 영상의학교실) ;
  • 이영환 (대구가톨릭대학교 의과대학 영상의학교실) ;
  • 강웅래 (대구가톨릭대학교 의과대학 영상의학교실)
  • Kim, Sung Min (Department of Radiology, School of Medicine, Catholic University of Daegu) ;
  • Lee, Young Hwan (Department of Radiology, School of Medicine, Catholic University of Daegu) ;
  • Kang, Ung Rae (Department of Radiology, School of Medicine, Catholic University of Daegu)
  • 투고 : 2014.04.16
  • 심사 : 2014.06.17
  • 발행 : 2014.06.30
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초록

간문맥으로 파열된 췌장 가성낭종은 매우 드문 합병증이며, 자기공명영상으로 확진된 경우는 3예만 보고되어 있다. 저자들은 50세 남자 환자에서 가성낭종과 간문맥 사이에 형성된 누공을 자기공명영상을 이용하여 비침습적으로 확진한 증례를 보고한다. T2강조영상 및 자기공명 담체관조영술에서 간문맥, 상장간막정맥, 그리고 비장정맥 내에 액체신호가 보였으며, 가성낭종과 간문맥이 직접 연결된 소견을 보였다.

Pancreatic pseudocyst rupture into the portal vein is a very rare complication and only three reported cases were confirmed using MRI. We report the case of a 50-year-old man with fistula formation between the pseudocyst and the portal vein, confirmed noninvasively by MRI. T2-weighted MR images and magnetic resonance cholangiopancreatography showed fluid signal intensity within the portal, superior mesenteric, and splenic veins, and a direct communication between the pseudocyst and the portal vein.

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참고문헌

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