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Massive upper gastrointestinal bleeding - complication of pancreatic pseudocyst
C I Mavrodin1, G Pariza1, V Iordache1
13rd Department, Emergency General Surgery, Emergency University Hospital Bucharest; "Carol Davila" University of Medicine and Pharmacy, Bucharest.
Abstract:
Massive bleeding is an unusual complication of pancreatitis. Most patients have chronic pancreatic disorders associated with pancreatic pseudocyst. We present the case of a patient, aged 49 years, known with alcohol-induced chronic pancreatitis, corporeal-caudal pancreatic pseudocyst expanded in the omental bursa, admitted to the emergency room because of hematemesis and melena, the endoscopy revealing, as a source, the erosion through the posterior gastric wall by the pseudocyst. The gastrostomy and haemostasis in situ of the source and the pseudocyst-gastric anastomosis was the solution adopted, with favourable long-term evolution.
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