Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Massive hemorrhage from a pancreatic pseudocyst into the duodenum].

T Krejcí1, J Hoch, J Leffler

  • 1Chirurgická klinika 2. LF UK a FN Motol, Praha. k.tom@atlas.cz

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|November 19, 2003
PubMed
Summary

Bleeding from pancreatic pseudocysts due to chronic pancreatitis can be fatal. This case report details a massive bleed from the gastroduodenal artery, requiring urgent surgery and highlighting diagnostic and therapeutic challenges.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Diverticulitis of the colon.

Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti·2025
Same author

Early cholecystectomy.

Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti·2024
Same author

Robotic resection of the rectum - what are the advantages?

Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti·2024
Same author

Ileus conditions after rectal and Hartmann's resections.

Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti·2024
Same author

Effect of neoadjuvant therapy on early postoperative complications in rectal cancer.

Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti·2024
Same author

[Psychosocial effects of the pandemic on staff and residents of nursing homes as well as their relatives-A systematic review].

Zeitschrift fur Gerontologie und Geriatrie·2021

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Radiology

Background:

  • Chronic pancreatitis frequently leads to pancreatic pseudocysts and pseudoaneurysms.
  • Hemorrhage from these lesions carries a high mortality rate, especially with conservative management.
  • Current diagnostics include angiography and contrast-enhanced CT, with therapy often involving percutaneous transvascular embolization (PTE) or surgery.

Observation:

  • A 44-year-old patient with chronic pancreatitis presented with massive bleeding from a pancreatic pseudocyst eroding the gastroduodenal artery.
  • Spontaneous pseudocyst perforation into the duodenum resulted in hemorrhagic shock, necessitating emergency surgical intervention.
  • The bleeding vessel was identified via longitudinal gastroduodenotomy and pseudocyst dissection through the duodenal wall.

Findings:

Related Experiment Videos

  • Successful identification and management of a bleeding gastroduodenal artery pseudoaneurysm within a pancreatic pseudocyst.
  • Demonstration of a rare complication of chronic pancreatitis: spontaneous pseudocyst perforation causing massive gastrointestinal hemorrhage.
  • Surgical approach via gastroduodenotomy allowed direct visualization and control of the bleeding source.

Implications:

  • Highlights the critical need for prompt diagnosis and aggressive management of bleeding pancreatic pseudocysts.
  • Underscores the limitations of conservative treatment and the potential role of surgical intervention in life-threatening hemorrhage.
  • Emphasizes the importance of considering surgical options in complex cases refractory to endovascular techniques.