Recurrent Upper Gastrointestinal Bleeding from Gastro-Cystic Fistula and Pancreatic Pseudocyst Bleeding / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
; : 111-115, 2014.
Article
Dans En
| WPRIM
| ID: wpr-121871
Responsable en Bibliothèque :
WPRO
ABSTRACT
Bleeding from pancreatic pseudocyst is a rare complication. Furthermore, massive upper gastrointestinal (GI) bleeding from gastro-cystic fistula formation and intracystic bleeding are both extremely rare and are also potentially fatal. A 53-year-old male was referred to the emergency room with melena and hematemesis. An urgent endoscopy revealed a massive gastric hematoma but showed no specific bleeding focus. Gastrocystic fistula formation and intracystic bleeding leakage to the stomach were suspicious in the follow-up endoscopy. A contrast-enhanced computed tomography scan demonstrated splenic artery pseudoaneurysm and extravasation of contrast media into the cyst that was abutted to the greater curvature side of the stomach. A splenic artery embolization was performed and no further bleeding occurred after embolization. Upper GI bleeding from gastro-cystic fistula and intracystic bleeding are rare but possible. Therefore, this possibility should be considered in the unknown cause of an upper GI bleeding in a patient with pancreatic pseudocyst.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pseudokyste du pancréas
/
Artère splénique
/
Estomac
/
Hématémèse
/
Méléna
/
Études de suivi
/
Faux anévrisme
/
Service hospitalier d'urgences
/
Endoscopie
/
Extravasation de produits diagnostiques ou thérapeutiques
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
/
Male
langue:
En
Texte intégral:
Korean Journal of Pancreas and Biliary Tract
Année:
2014
Type:
Article