Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Two Cases of Duodenal Obstruction Accompanying Hematoma after Pancreatic Aneurysm Rupture
Tomoya TAKAMI, Tomoyuki YAMAGUCHI, Yu OSIMA, Kotaro HATANO, Satoshi WAKAMA, Naoki KATAOKA
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2015 Volume 76 Issue 7 Pages 1701-1705

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Abstract
We encountered two cases of duodenal obstruction accompanying hematoma after pancreatic aneurysm rupture, and report them here with a discussion of the literature. Both patients visited with a chief complaint of abdominal pain, were diagnosed with rupture of a visceral artery aneurysm on computed tomography, and showed aneurysm in the pancreatic artery on angiography. One case was followed-up and one case underwent embolization, but both cases followed a favorable course. However, after discharge, abdominal pain and vomiting appeared, and duodenal obstruction was diagnosed in each case. Both improved with conservative treatment, and later followed a favorable course. Pancreatic aneurysm rupture can in some cases be followed by duodenal obstruction accompanying hematoma, and follow-up is thus regarded as necessary.
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© 2015 Japan Surgical Association
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