| Gastric bleeding from a penetrating pancreatic pseudocyst with pseudoaneurysm of the splenic artery. | |
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MedLine Citation:
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PMID: 19950801 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ken-ichiro Araki; Tatsuo Shimura; Akira Watanabe; Tsutomu Kobayashi; Hideki Suzuki; Taketoshi Suehiro; Hiroyuki Kuwano |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 56 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2009 Sep-Oct |
Date Detail:
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Created Date: 2009-12-02 Completed Date: 2009-12-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1411-3 Citation Subset: IM |
Affiliation:
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Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi-shi, Gunma 371-8511, Japan. karaki@showa.gunma-u.ac.jp |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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complications* Embolization, Therapeutic Gastrointestinal Hemorrhage / etiology*, therapy Humans Male Middle Aged Pancreatic Pseudocyst / complications*, surgery Splenic Artery* |
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