위 점막하 종양 양상으로 발현한 비장동맥 동맥류 1예 |
박병출ㆍ윤세진ㆍ박선미ㆍ전원중ㆍ정지인ㆍ채희복ㆍ성노현* |
충북대학교 의과대학 내과학교실, *병리학교실 |
A Case of Splenic Artery Aneurysm Mimicking Gastric Submucosal Tumor |
Byeong Chool Park, M.D., Sei Jin Youn, M.D., Seon Mee Park, M.D., Won Joong Jeon, M.D., Jee In Jeong, M.D., Hee Bok Chae, M.D. and Ro Hyun Sung, M.D.* |
Departments of Internal Medicine and *Pathology, Chungbuk National University College of Medicine, Cheongju, Korea |
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Abstract |
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Splenic artery aneurysm is an uncommon clinical entity. Most of these aneurysms are asymptomatic, but if an aneurysm ruptures, it can be fatal and its mortality rate reaches 70 percent. Regardless of the presence of symptoms, if the size of the asymptomatic aneurysm is larger than 2 cm in diameter or the patient is pregnant, then the anurysm should be treated. A 74-year-old female visited our hospital complaining of nonspecific epigastric discomfort. Endoscopic examination of the stomach revealed a submucosal tumor like protruding mass in the body and it was finally diagnosed as a splenic artery aneurysm by computed tomography. We report here on a case of a splenic artery aneurysm that mimicked a submucosal tumor, and this aneurysm was treated with surgery. (Korean J Gastrointest Endosc 2009;38:142-146) |
Key Words:
Splenic artery aneurysm, Esophagogastroduodenoscopy, Submucosal tumor |
주요어:
비장동맥의 동맥류, 상부 위장관 내시경, 위점막하 종양 |
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