2017 Volume 37 Issue 4 Pages 651-656
A 75-year-old woman was admitted to a clinic because of hematemesis. Endoscopic findings revealed an ulcerative lesion in the descending portion of the duodenum, with bleeding. A CT scan showed a tumor on the pancreatic head that had extended to the duodenum. As a result, we considered the tumor to be a pancreatic head cancer that had infiltrated the duodenum. The patient was immediately transferred to our hospital for treatment. Although she developed hemorrhagic shock because of massive hematemesis, she recovered from a severe state after receiving intravenous fluid resuscitation and blood transfusion. After the above treatment, a pancreaticoduodenectomy was performed. Pathologically, the tumor was diagnosed as a poorly differentiated tubular adenocarcinoma with duodenal infiltration. Since hemorrhagic shock arising from pancreatic cancer with duodenal infiltration is rare, we report the present case along with a literature review.
