ABSTRACT
Gastrointestinal bleeding through the pancreatic duct especially from the minor papilla through the accessory duct is a very rare event. It has rarely been demonstrated to be associated with pancreatic pseudocyst, arteriovenous malformation, pancreas divisum, and duodenal duplication cyst. We have experienced a 51-year old man having sudden onset melena. He had been recovered from a recent myocardial infarction and was on the aspirin treatment. Upper gastrointestinal endoscopic examination revealed bleeding through minor papilla from the accessory duct but no bleeding was observed through the ampulla of Vater. Angiogram demonstrated two sites of aneurysmal dilatation of pancreaticoduodenal artery and these were obliterated by selective embolization. Thereafter the bleeding was controlled and patient was recovered.
Subject(s)
Humans , Middle Aged , Ampulla of Vater , Aneurysm , Arteries , Arteriovenous Malformations , Aspirin , Dilatation , Embolization, Therapeutic , Hemorrhage , Melena , Myocardial Infarction , Pancreas , Pancreatic Ducts , Pancreatic PseudocystABSTRACT
Gastrointestinal bleeding through the pancreatic duct especially from the minor papilla through the accessory duct is a very rare event. It has rarely been demonstrated to be associated with pancreatic pseudocyst, arteriovenous malformation, pancreas divisum, and duodenal duplication cyst. We have experienced a 51-year old man having sudden onset melena. He had been recovered from a recent myocardial infarction and was on the aspirin treatment. Upper gastrointestinal endoscopic examination revealed bleeding through minor papilla from the accessory duct but no bleeding was observed through the ampulla of Vater. Angiogram demonstrated two sites of aneurysmal dilatation of pancreaticoduodenal artery and these were obliterated by selective embolization. Thereafter the bleeding was controlled and patient was recovered.
Subject(s)
Humans , Middle Aged , Ampulla of Vater , Aneurysm , Arteries , Arteriovenous Malformations , Aspirin , Dilatation , Embolization, Therapeutic , Hemorrhage , Melena , Myocardial Infarction , Pancreas , Pancreatic Ducts , Pancreatic PseudocystABSTRACT
Incidence of adenocarcinoma of the kidney in long-term hemodialysis is higher than in the general group. Although renal cancers occuring in dialysis patients are often small and asymptomatic, some patients present with cutaneous, visceral, or skeletal metastasis. We report a case of adenocarcinoma of the kidney in chronic hemodialysis patient. A 36-year-old male was diagnosed as chronic renal failure 6 years ago and then had been recieving hemodialysis. Renal tumor and multiple renal cysts were incidentally found in right kidney by renal ultrasonography and abdominal CT scanning. Radical nephrectomy was done and pathologic diagnosis was renal cell carcinoma and multiple simple renal cysts.