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A case of chronic pancreatitis in which endoscopic ultrasonography was effective in the diagnosis of a pseudoaneurysm.
MedLine Citation:
PMID:  22816016     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Endoscopic ultrasonography (EUS) was performed on a patient being treated for chronic pancreatitis because a submucosal tumor was observed in the stomach during gastrointestinal endoscopy. As internal pulsatile blood flow on Doppler was present, the diagnosis of an aneurysm was made. The pseudoaneurysm of the left gastric artery was embolized with histoacryl and lipiodol and the splenic artery was embolized with coils at the location of the pseudoaneurysm to prevent hemorrhage. Follow up EUS confirmed the cessation of blood flow from the pseudoaneurysm. Clinicians encountering a gastric submucosal tumor-like protrusion in a patient with chronic pancreatitis should use EUS to investigate the possibility of a pseudoaneurysm, which must be treated as quickly as possible once identified.
Authors:
Kazuhiro Fukatsu; Kazuki Ueda; Hiroki Maeda; Yasunobu Yamashita; Masahiro Itonaga; Yoshiyuki Mori; Kosaku Moribata; Naoki Shingaki; Hisanobu Deguchi; Shotaro Enomoto; Izumi Inoue; Takao Maekita; Mikitaka Iguchi; Hideyuki Tamai; Jun Kato; Masao Ichinose
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastrointestinal endoscopy     Volume:  4     ISSN:  1948-5190     ISO Abbreviation:  World J Gastrointest Endosc     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-20     Completed Date:  2012-10-02     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101532474     Medline TA:  World J Gastrointest Endosc     Country:  China    
Other Details:
Languages:  eng     Pagination:  335-8     Citation Subset:  -    
Affiliation:
Kazuhiro Fukatsu, Kazuki Ueda, Hiroki Maeda, Yasunobu Yamashita, Masahiro Itonaga, Yoshiyuki Mori, Kosaku Moribata, Naoki Shingaki, Hisanobu Deguchi, Shotaro Enomoto, Izumi Inoue, Takao Maekita, Mikitaka Iguchi, Hideyuki Tamai, Jun Kato, Masao Ichinose, Second Department of Internal Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayama 641-0012, Japan.
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