Massive upper gastrointestinal bleeding from a pancreatic pseudocyst rupture: a case report
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Gianluca Donatini1, Pietro Iacconi, Carmine De Bartolomeis
1Department of Surgery, University of Pisa, Via Roma 67, 56100 Pisa, PI, Italy. giacko76@hotmail.com
Introduction:
Bleeding from pancreatic pseudocyst's rupture into adjacent organs is a rare, but potentially fatal, complication of chronic pancreatitis requiring quick management. Timing of the rupture is unpredictable; early diagnosis and correct management is essential in preventing the bleeding.
Case Presentation:
We describe the case of a 53 years old male patient successfully treated with emergency surgery for massive hematemesis due to a rupture of a bleeding pseudocyst into the stomach. Patient underwent emergency laparotomy and suture of the bleeding vessel. At 5 years follow-up patient is in healthy condition.
Conclusion:
This case shows to surgeons that pancreatic pseudocyst cannot be managed strictly with one rule and prompt surgical treatment is mandatory in case of haemodinamic instability.
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