Korean Journal of Gastrointestinal Endoscopy 2006;32(6): 405-408.
바터 팽대부의 혈관이형성증으로 인한 상부위장관 출혈 1예
은종렬·장병익
영남대학교 의과대학 내과학교실
A Case of Bleeding Due to Angiodysplasia of the Ampulla of Vater
Jong Ryul Eun, M.D. and Byung Ik Jang, M.D.
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
Abstract
Although angiodysplasia can be found along the whole gastrointestinal tract, it is extremely rare at the ampulla of Vater. We experienced a case of chronic bleeding due to an angiodysplasia of the major papilla. A 53-year-old man was admitted due to intermittent melena and dyspnea for approximately 4 months. Esophagogastroduodenoscopy revealed bleeding from the ampulla of Vater. A subsequent examination with side-viewing duodenoscopy revealed vascular ectasia around the orifice of the major papilla and blood oozing from this lesion. Hemostasis was successfully performed by endoscopic bipolar electrocoagulation. No further bleeding was observed and the previous vascular abnormality disappeared at the follow-up duodenoscopy. (Korean J Gastrointest Endosc 2006;32: 405408)
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