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Korean Journal of Pancreas and Biliary Tract ; : 111-115, 2014.
Article in English | WPRIM | ID: wpr-121871


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.

Humans , Male , Middle Aged , Aneurysm, False , Emergency Service, Hospital , Endoscopy , Extravasation of Diagnostic and Therapeutic Materials , Fistula , Follow-Up Studies , Hematemesis , Hematoma , Hemorrhage , Melena , Pancreatic Pseudocyst , Splenic Artery , Stomach