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Τρίτη 2 Φεβρουαρίου 2021

Massive gastric bleeding - perforation of pancreatic pseudocyst into the stomach: A case report and review of literature.

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Massive gastric bleeding - perforation of pancreatic pseudocyst into the stomach: A case report and review of literature.

World J Clin Cases. 2021 Jan 16;9(2):389-395

Authors: Jin Z, Xiang YW, Liao QS, Yang XX, Wu HC, Tuo BG, Xie R

Abstract
BACKGROUND: Pancreatic pseudocyst may cause serious gastrointestinal complications including necrosis, infection, and perforation of the gastrointestinal tract wall, but massive gastric bleeding is very rare.
CASE: We report a rare case of a 49-year-old man with life-threatening gastric bleeding from a pseudoaneurysm of the splenic artery perforating the stomach induced by pancreatic pseudocyst. During hospitalization, gastroscopy revealed a bare blood vessel in an ulcer-like depression of the greater gastric curvature, and computed tomography scan confirmed a pancreatic pseudocyst invading part of the spleen and gastric wall of the greater curvature. Arteriography showed that the bare blood vessel originated from a pseudoaneurysm of the splenic artery. The bleeding was controlled by the trans-arterial embolization, the patient's recovery was rapid and uneventful.
CONCLUSION: Massive gastrointestinal bleeding could be a rare complication of pancreatic pseudo aneurysm.

PMID: 33521106 [PubMed]

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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,

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