Korean J Gastroenterol.  2019 Dec;74(6):362-364. 10.4166/kjg.2019.74.6.362.

Massive Upper Gastrointestinal Bleeding from Pancreatic Pseudocyst

• Yang SH
• Son JH
• Lee YS

• KMID: 2469912
• DOI: http://doi.org/10.4166/kjg.2019.74.6.362

Abstract

No abstract available.

MeSH Terms

Hemorrhage*
Pancreatic Pseudocyst*

Figure

• 

  Fig. 1 (A) Contrast-enhanced CT image shows an 8.4×4 cm sized pancreatic pseudocyst adjacent to the posterior wall side of the stomach. (B) Contrast-enhanced CT image shows a gastro-cystic fistula (red arrow). CT, computed tomography.

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  Fig. 2 Esophagogastroduodenoscopy findings. On the retroflexed view, oozing bleeding from a linear pinpoint depressed lesion was observed on the lesser curvature/posterior wall side of the mid body.

Reference

1. Lillemoe KD, Yeo CJ. Management of complications of pancreatitis. Curr Probl Surg. 1998; 35:1–98.

2. Shatney CH, Sosin H. Spontaneous perforation of a pancreatic pseudocyst into the colon and duodenum. Am J Surg. 1973; 126:433–438.

3. Henne-Bruns D, Fröschle G, Grimm H, Kremer B. Acute gastrointestinal bleeding as a complication of pancreatic pseudocysts. Hepatogastroenterology. 1991; 38:75–77.

4. Stabile BE, Wilson SE, Debas HT. Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis. Arch Surg. 1983; 118:45–51.

5. Balachandra S, Siriwardena AK. Systematic appraisal of the management of the major vascular complications of pancreatitis. Am J Surg. 2005; 190:489–495.

6. El Hamel A, Parc R, Adda G, Bouteloup PY, Huguet C, Malafosse M. Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis. Br J Surg. 1991; 78:1059–1063.

7. Woods MS, Traverso LW, Kozarek RA, Brandabur J, Hauptmann E. Successful treatment of bleeding pseudoaneurysms of chronic pancreatitis. Pancreas. 1995; 10:22–30.