Document Detail

Combined diagnostic and therapeutic imaging of hemosuccus pancreaticus.
MedLine Citation:
PMID:  14509195     Owner:  NLM     Status:  MEDLINE    
The justification of a request of ERCP in a patient with hematobilia, was evaluated, based on the medical history and negative endoscopy findings for gastrocolic bleeding. The diagnostic examination was performed: it confirmed the release of blood from the papilla of Vater, however the definitive diagnosis could not be established; CT, as the examination of first choice was performed. It provided additional information and the diagnosis of aneurysm of the splenic vein apparently non communicating with the main pancreatic duct, was established. Angiography of the splenic artery was performed as the examination of second choice to definitely ascertain the source of bleeding. During the examination, the aneurysm embolization excluded the affected vessel from the circulation and allowed immediate benefit to the patient.
Adolfo Canadè; Anna Paola Mancini; Carmine Di Stasi; Maria Gabriella Brizi; Massimiliano Mutignani
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Rays     Volume:  28     ISSN:  0390-7740     ISO Abbreviation:  Rays     Publication Date:    2003 Apr-Jun
Date Detail:
Created Date:  2003-09-25     Completed Date:  2003-11-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7707724     Medline TA:  Rays     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  197-207     Citation Subset:  IM    
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Roma, Italy.
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MeSH Terms
Abdominal Pain / etiology
Aneurysm / complications,  radiography*
Cholangiopancreatography, Endoscopic Retrograde
Hematemesis / etiology
Melena / etiology
Middle Aged
Splenic Vein / radiography*
Tomography, X-Ray Computed

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