Document Detail


Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis. Treatment by embolotherapy.
MedLine Citation:
PMID:  6609804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seven cases of gastrointestinal bleeding originating from peripancreatic blood vessels seen between 1977 and 1982 are presented. The bleeding originated either from true aneurysms, formed when the pancreatic inflammatory processes weaken the walls of peripancreatic blood vessels, from pseudoaneurysms which occurred after vascular leakage into pancreatic pseudocyst, or from veins. Gastrointestinal bleeding occurs when these entities rupture into gastrointestinal viscera. Hemorrhage of this nature must be considered in the clinical setting of patients who have a history of alcoholism, chronic relapsing pancreatitis, and known pseudocysts. Endoscopy, bleeding scans, and barium contrast studies are only occasionally helpful in diagnosis. Selective visceral angiography during acute hemorrhage is often diagnostic and concomitant arterial embolization techniques may offer a temporizing or permanent modality for hemostasis. This technique may be especially useful in the unstable, acutely ill patient with alcoholic hepatitis, sepsis, or an immature pseudocyst who poses a poor operative risk.
Authors:
M L Steckman; M C Dooley; P F Jaques; D W Powell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  29     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-07-06     Completed Date:  1984-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  486-97     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Alcoholism / complications
Aneurysm / complications
Embolization, Therapeutic*
Female
Gastrointestinal Hemorrhage / etiology*,  therapy
Humans
Male
Middle Aged
Pancreas / blood supply*
Pancreatic Pseudocyst / complications
Pancreatitis / complications*
Rupture, Spontaneous
Splenic Artery / radiography
Splenic Diseases / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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