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Acute pancreatitis associated with massive bleeding due to a duodenal ulcer
Daisuke Uchida1, Yoshinari Kawai2, Hironari Kato3
1Department of Gastroenterology, Okayama University Hospital, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan. pt77172s@okayama-u.ac.jp.
Abstract:
A 74-year-old man presented to the emergency department with acute abdominal pain in addition to anemia and melena, which were suspected to be due to gastrointestinal bleeding. Computed tomography (CT) revealed a blood-filled duodenum and acute pancreatitis. We prioritized treatments for pancreatitis, as the vital signs were stable, and temporary hemostasis was achieved. Two days later, esophagogastroduodenoscopy revealed a duodenal ulcer with an exposed vessel, and endoscopic hemostasis was performed. We urge clinicians to consider the possibility of pancreatitis associated with massive bleeding due to a duodenal ulcer.
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