Recurrent Upper Gastrointestinal Bleeding from Gastro-Cystic Fistula and Pancreatic Pseudocyst Bleeding / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 111-115, 2014.
Article
in English
| WPRIM
| ID: wpr-121871
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatic Pseudocyst
/
Splenic Artery
/
Stomach
/
Hematemesis
/
Melena
/
Follow-Up Studies
/
Aneurysm, False
/
Emergency Service, Hospital
/
Endoscopy
/
Extravasation of Diagnostic and Therapeutic Materials
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Pancreas and Biliary Tract
Year:
2014
Type:
Article
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