Massive upper gastrointestinal haemorrhage due to direct visceral erosion of splenic artery aneurysm.
J Postgrad Med
;
1994 Oct-Dec; 40(4): 220-2
Artigo
em Inglês
| IMSEAR
| ID: sea-116530
ABSTRACT
Six male patients (age group 30-60 years) with aneurysm of the splenic artery presented with massive upper gastrointestinal tract hemorrhage. Five patients presented with hematemesis and one with melena. Chronic pancreatitis was noted in all the patients, four of whom were chronic alcoholics. Endoscopy was not useful in diagnosis. Bleeding through the Ampulla of Vater was seen in the patient with melena. Angiography was diagnostic in all. Pancreatic resection including the aneurysm(2), and bipolar ligation with underrunning of the aneurysm (3) were the operative procedures. Distal pancreatectomy with pancreatogastrostomy was carried out in the patient with hemosuccus pancreaticus. If endoscopy is inconclusive, angiography and early intervention is recommended to reduce the high mortality associated with conservative management.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Ruptura Espontânea
/
Artéria Esplênica
/
Humanos
/
Masculino
/
Adulto
/
Hemorragia Gastrointestinal
/
Aneurisma
/
Pessoa de Meia-Idade
Idioma:
Inglês
Revista:
J Postgrad Med
Ano de publicação:
1994
Tipo de documento:
Artigo
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