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Gastric Variceal Rebleeding by Aberrant Left Gastric Vein after Transjugular Intrahepatic Portosystemic Shunt: A Case Report
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ÀÌÁ¾ÈÆ(Lee Jong-Hun) - ´ë±¸°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿µ»óÀÇÇаúÇб³½Ç
±è¿µÈ¯(Kim Young-Hwan) - °è¸í´ëÇб³ ÀÇ°ú´ëÇÐ µ¿»êÀÇ·á¿ø ¿µ»óÀÇÇаúÇб³½Ç
°¿õ·¡(Kang Woong-Rae) - ´ë±¸°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿µ»óÀÇÇаúÇб³½Ç
ÀÌ¿µÈ¯(Lee Young-Hwan) - ´ë±¸°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿µ»óÀÇÇаúÇб³½Ç
Abstract
¹®¸Æ¾Ð °íÇ÷¾Ð ȯÀÚÀÇ À§Á¤¸Æ·ù ÃâÇ÷¿¡¼ ÀÌ»óÁÂÀ§Á¤¸ÆÀÌ ¸Å¿ì µå¹°°Ô ¿øÀÎÀÌ µÉ ¼ö ÀÖÀ¸¹Ç·Î ¸ñÁ¤¸Æ°æÀ¯°£¼Ó¹®¸ÆÀü½Å¼øȯ¿¬°á¼ú ½Ã¿¡ Àü»êÈ´ÜÃþÃÔ¿µÀ» ÅëÇØ Ç÷°üÀ» ÁÖÀÇ ±í°Ô °üÂûÇÏ¿© ÀÌ»óÁÂÀ§Á¤¸Æ »öÀü¼úÀ» µ¿½Ã¿¡ ½ÃÇàÇÏ¿©¾ß À§Á¤¸Æ·ùÀÇ ÀçÃâÇ÷À» ¿¹¹æÇÒ ¼ö ÀÖ´Ù. ÀúÀÚµéÀº ¸ñÁ¤¸Æ°æÀ¯°£¼Ó¹®¸ÆÀü½Å¼øȯ¿¬°á¼ú ÈÄ À§Á¤¸Æ·ù ÀçÃâÇ÷À» º¸ÀΠȯÀÚ¿¡¼ Àü»êÈ´ÜÃþÃÔ¿µ°ú ¹®¸ÆÁ¶¿µ¼úÀ» ¿ªÇàÀûÀ¸·Î ºÐ¼®ÇÏ¿© ÀÌ»óÁÂÀ§Á¤¸Æ¿¡ ÀÇÇÑ ÀçÃâÇ÷À» Áø´ÜÇÏ¿´À¸¸ç ÄÚÀÏÀ» ÀÌ¿ëÇÑ »öÀü¼úÀ» ÅëÇØ ¼º°øÀûÀ¸·Î ÀçÃâÇ÷À» Ä¡·áÇÑ 1¿¹¸¦ °æÇèÇÏ¿´±â¿¡ À̸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
The aberrant left gastric vein can be a rare cause of gastric variceal bleeding in portal hypertensive patients. Careful examination of vascular anatomy on CT scan and simultaneous embolization of the aberrant left gastric vein during the tranjugular intrahepatic portosystemic shunt are necessary to prevent gastric variceal rebleeding. Herein, we report a case of gastric variceal rebleeding by the aberrant left gastric vein after transjugular intrahepatic portosystemic shunt, which was retrospectively diagnosed by CT scan and portogram, and successfully treated by coil embolization.
Å°¿öµå
Gastric Varix, Aberrant Left Gastric Vein, Transjugular Intrahepatic Portosystemic Shunt, Embolization
KMID :
1103720140700030201
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