1987 Volume 29 Issue 11 Pages 2501-2505_1
A male of 56-years-old with past history of diabetes mellitus and pancreatolithiasis had four episodes of melena in 1981, 1982, 1985 and 1986. He was admitted to our hospital with the chief complaint of upper abdominal pain. Laboratory data on admittion revealed anemia. Endoscopy for the upper digestive tract showed bleeding from the duodenal papilla. Pancreatic juice collected by selective cannulation method, pancreatogram obtained by ERCP and finding of CT showed that the bleeding had originated in a pancreatic cyst accompanied by chronic pancreatitis. Resection of body and tail of the pancreas and the splenectomy were performed. Serial sections of the resected specimen revealed the bleeding from a pancreatic branch of the lienal artery. Pathologically the pancreatic cyst was retention cyst. Fiberscopy of the descending portion of the duodenum may sometimes reveal, the source of the bleeding which is uncommon and difficult to identify.
