| Gastric necrosis and perforation as a severe complication of pancreatic pseudocyst. | |
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MedLine Citation:
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PMID: 19948439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with acute pancreatitis may present with stress-related gastrointestinal mucosal lesions. But severe gastrointestinal complications such as gastric perforation are very rare. Here, we report a 40-year-old man who was admitted due to acute pancreatitis and pseudocyst formation. During hospitalization, panendoscopic examination found multiple scattered stress ulcers over the gastric antrum and a large ulcerative area with suspicious malignant features at the body and fundus. The patient received surgical intervention due to worsening of his clinical condition. Postoperative findings showed a perforation of the gastric wall at the region in contact with the pseudocyst, and microscopic examination found diffuse ischemia and necrosis with intravascular thrombus and emboli in gastric vessels. We suggest keeping in mind that pancreatic pseudocyst may cause serious gastrointestinal complications including massive necrosis and perforation of the gastric wall. |
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Authors:
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Chia-Yang Hsu; Kuei-Chuan Lee; Che-Chang Chan; Fa-Yauh Lee; Han-Chieh Lin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Chinese Medical Association : JCMA Volume: 72 ISSN: 1728-7731 ISO Abbreviation: J Chin Med Assoc Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-12-01 Completed Date: 2010-03-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101174817 Medline TA: J Chin Med Assoc Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 603-6 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Gastric Mucosa / blood supply, injuries*, pathology* Humans Ischemia / complications Male Necrosis Pancreatic Pseudocyst / complications* Pancreatitis / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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