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Gastric subserosal hematoma developing from focal pancreatitis: a case report
Chen-Te Chou1, Ran-Chou Chen, Albert D Yang
1Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Department of Radiology, Changhua Christian Hospital, Er-Lin Branch, Taiwan. 96888@cch.org.tw
The Kaohsiung Journal of Medical Sciences
|March 18, 2009
Summary
Focal pancreatitis can cause gastric wall hemorrhage, mimicking gastric disease. This case highlights successful percutaneous drainage for gastric subserosal hematoma secondary to pancreatitis.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Gastric wall hemorrhage is a rare complication of pancreatitis.
- Imaging findings of pancreatitis with gastric involvement can mimic primary gastric pathologies.
Observation:
- A patient presented with a gastric subserosal hematoma, initially suspected to be of gastric origin.
- Computed tomography revealed focal pancreatitis eroding the gastric wall, causing the hemorrhage.
Findings:
- The case demonstrates focal pancreatitis complicated by gastric subserosal hemorrhage.
- Accurate radiological diagnosis was crucial in differentiating from primary gastric disease.
Implications:
- This case underscores the importance of considering pancreatitis as a cause of gastric subserosal hematoma.
- Percutaneous drainage proved an effective treatment, avoiding unnecessary surgery.
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