Hemorragia por ruptura de pseudoaneurisma pancreático: caso clínico / Bleeding due to gastroduodenal arterial pseudoaneurysm in a patient with an infected pancreatic pseudocyst: clinical case
Rev. méd. Chile
; 129(1): 81-5, ene. 2001. ilus
Article
em Es
| LILACS
| ID: lil-282119
Biblioteca responsável:
CL1.1
ABSTRACT
We report a 52 year old man with a pancreatic pseudocyst, that was admitted with severe abdominal pain, severe vomiting, fever and malaise. The clinical picture was considered secondary to a pseudocyst infection and the patient was operated, draining the infected cyst performing a necrosectomy and pancreatocystojejunostomy. Forty eight hours after the operation, an ostomy bleeding was detected. A upper mesenteric artery angiography showed two pseudoaneurysms in the gastroduodenal artery, that were embolized. Bleeding stopped initially, but seven days later, it reappeard. The patient was subjected to an emergency pancreatoduodenectomy. Postoperative evolution was uneventful and the patient was discharged two weeks later. Spontaneous bleeding of pseudoaneurysms secondary to chronic pancreatitis is a complication with a 15 to 40 percent mortality that must be bore in mind
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Pancreatite
/
Aneurisma Roto
/
Hemorragia Gastrointestinal
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2001
Tipo de documento:
Article
País de publicação:
Chile