| Massive intraperitoneal hemorrhage from a pancreatic pseudocyst. | |
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MedLine Citation:
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PMID: 10606335 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Massive bleeding from a pancreatic pseudocyst is a rare condition that poses a diagnostic and therapeutic challenge. A 36-yr-old woman presented with acute pancreatitis due to gallstones. Twenty-two days later, she developed severe abdominal pain and hypotension. CT scan revealed hemorrhage into a pancreatic pseudocyst and a large amount of free blood in the peritoneal cavity. At laparotomy, 8 L of blood was evacuated from the peritoneal cavity and 14 units of blood were transfused. The gastroduodenal artery was found to be the cause of the bleeding and was undersewn. A pancreatic necrosectomy was performed and the cavity was packed. The packs were removed the following day. Postoperatively, pancreatic collections were aspirated under ultrasound guidance on three occasions. She was discharged 50 days after admission and had an open cholecystectomy 1 month later. She remains well 1 yr after surgery. |
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Authors:
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S B Kelly; T Gauhar; R Pollard |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The American journal of gastroenterology Volume: 94 ISSN: 0002-9270 ISO Abbreviation: Am. J. Gastroenterol. Publication Date: 1999 Dec |
Date Detail:
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Created Date: 1999-12-30 Completed Date: 1999-12-30 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0421030 Medline TA: Am J Gastroenterol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 3638-41 Citation Subset: IM |
Affiliation:
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Department of Surgery, North Tyneside General Hospital, North Shields, Tyne & Wear, England. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Cholelithiasis / complications, radiography, surgery Female Hemoperitoneum / etiology*, radiography, surgery Humans Pancreatectomy Pancreatic Pseudocyst / complications*, radiography, surgery Pancreatitis, Acute Necrotizing / complications, radiography, surgery Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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