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Korean J Med > Volume 86(4); 2014 > Article
The Korean Journal of Medicine 2014;86(4): 462-465.
내시경역행성췌담도조영술 중 발생한 간문맥 내 삽관 1예
김창래, 하연정, 엄상용, 지원준, 김태오, 최준호, 김명환
울산대학교 의과대학 서울아산병원 내과
Portal Vein Cannulation During Endoscopic Retrograde Cholangiopancreatography
Chang Lae Kim, Yeonjung Ha, Sang Yong Om, Wonjun Ji, Tae Oh Kim, Jun-Ho Choi, Myung-Hwan Kim
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Corresponding Author: Myung-Hwan Kim ,Tel: +82-2-3010-3183, Fax: +82-2-476-0824, Email: mhkim@amc.seoul.kr
Received: June 14, 2013;   Revised: June 21, 2013;   Accepted: July 1, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
A 68-year-old woman was admitted to our hospital with obstructive jaundice. Abdominal CT scan demonstrated a mass at the head of the pancreas. The patient was diagnosed as having obstructive jaundice caused by pancreatic cancer. We tried to relieve the bile duct obstruction by ERCP (endoscopic retrograde cholangiopancreatography). After several cannulation attempts, we thought that we had achieved deep cannulation of the bile duct and tried to place a biliary plastic stent. During ERCP, however, we noticed massive air in the portal venous system, indicating possible cannulation of the portal vein. The procedure was terminated immediately and abdominal computed tomography revealed air in the portal venous system. Fortunately, there were no subsequent complications. The air in the portal vein had disappeared, ascertained by CT scan taken 5 days later. The patient underwent surgical resection for pancreatic cancer. Isolated portal vein cannulation per se does not usually result in mortality or serious morbidity. (Korean J Med 2014;86:462-465)
Keywords: ERCP; Complications; Portal vein
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