The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
A CASE OF HEMORRAGE INTO PANCREATIC PSEUDOCYST CAUSING INTERMITTENT MELENA
Kenji YANOTakeshi KATAOKAMotoi YAMANEMasamichi YUBAIkuo KAMIGAKITouru MAKIHATAAkira TANAKATetsuhi KISO
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1991 Volume 52 Issue 4 Pages 871-875

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Abstract

A 65-year-old man was admitted to our hospital with the complains of sudden sever epigastralgia and intermittent melena in 23 May, 1988. A tumor with goose egg size was palpable at the epigastrial region with tenderness. He had anemia, hyperamylasenemia and possitive occult blood. Abdominal echography and computed tomograpy revealed a pancreatic cyst of 50×45 mm in size. Enhanced computed tomography revealed an circular stain in this cyst. A possibility of hemorrage into a pancreatic cyst was considered. Celiac angiograpy could catch a moment when intermittent and jet-like hemorrhage occurred into the pancreatic cyst from the splenic artery. Radical operation was performed. It was found that the splenic artery adjacent to the pancreatic cyst ruptured due to inflamation to bleeding into the cyst, which was discharged to the duodenum from Papilia Vater through the main pancreatic duct. This is a very rare case of pancreatic pseudocyst in a moment of intermittent and jet-like bleeding into the cyst could be visualized.

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