Document Detail

Gastric bleeding from a penetrating pancreatic pseudocyst with pseudoaneurysm of the splenic artery.
MedLine Citation:
PMID:  19950801     Owner:  NLM     Status:  MEDLINE    
The successful management of gastric bleeding from a pseudocyst with a pseudoaneurysm of the splenic artery is reported here. A 62-year-old male patient was referred to our hospital with a complaint of hematomesis. On a computed tomography and an abdominal angiography, it was evident that he was actively bleeding from a splenic pseudoaneurysm caused by a pancreatic pseudocyst. A transcathetheral arterial embolization (TAE) was performed on the splenic pseudoaneurysm to control bleeding. After the TAE, we resected the pancreatic pseudocyst by distal pancreatectomy with partial gastrectomy. Gastrointestinal bleeding from a pseudoaneurysm caused by a pancreatic pseudocyst is a rare, but sometimes lethal, complication. As only conservative therapy or TAE often results in lethal re-bleeding, we propose to perform elective surgery after TAE.
Ken-ichiro Araki; Tatsuo Shimura; Akira Watanabe; Tsutomu Kobayashi; Hideki Suzuki; Taketoshi Suehiro; Hiroyuki Kuwano
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  56     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-12-02     Completed Date:  2009-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1411-3     Citation Subset:  IM    
Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi-shi, Gunma 371-8511, Japan.
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MeSH Terms
Aneurysm, False / complications*
Embolization, Therapeutic
Gastrointestinal Hemorrhage / etiology*,  therapy
Middle Aged
Pancreatic Pseudocyst / complications*,  surgery
Splenic Artery*

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