Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Jejunal Migration of the Stent-Graft Used for Common Hepatic Artery Pseudoaneurysm

총간동맥 가성동맥류의 치료로 삽입한 스텐트 그라프트의 공장으로의 위치 이동

  • Jiwon Kim (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Byung-Hee Lee (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • 김지원 (한국원자력의학원 원자력병원 영상의학과) ;
  • 이병희 (한국원자력의학원 원자력병원 영상의학과)
  • Received : 2021.01.12
  • Accepted : 2021.04.13
  • Published : 2022.01.01
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Abstract

Hemorrhage after pancreaticobiliary surgery is an infrequent but fatal complication. It is primarily caused by rupture of the pseudoaneurysm, and treatment options include endovascular coil embolization or endovascular stent-graft placement. Herein, we report a case of migration of an arterial stent-graft that was placed in the common hepatic artery to treat pseudoaneurysm after pylorus-preserving pancreaticoduodenectomy. The stent-graft migrated to the jejunum and was eventually excreted from the body.

췌장-담도계 수술 후에 발생하는 합병증 중에 출혈은 드물지만 사망률이 높은 합병증이다. 출혈의 주요 원인은 가성동맥류의 파열이며, 코일색전술 혹은 혈관 내 스텐트 그라프트 삽입술이 효과적인 치료 방법으로 알려져 있다. 저자들은 유문부 보존 췌두부십이지장절제술 이후 발생한 총간동맥의 가성동맥류의 치료를 위해 삽입한 스텐트 그라프트가 공장으로 이동한 후 몸 밖으로 빠져나간 사례를 보고하고자 한다.

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References

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