Recurrent Upper Gastrointestinal Bleeding from Gastro-Cystic Fistula and Pancreatic Pseudocyst Bleeding / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 111-115, 2014.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pseudocisto Pancreático
/
Artéria Esplênica
/
Estômago
/
Hematemese
/
Melena
/
Seguimentos
/
Falso Aneurisma
/
Serviço Hospitalar de Emergência
/
Endoscopia
/
Extravasamento de Materiais Terapêuticos e Diagnósticos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Pancreas and Biliary Tract
Ano de publicação:
2014
Tipo de documento:
Artigo
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