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Hemorragia digestiva alta potencialmente mortal causada por pseudquistes pancreáticos: reporte de un caso
1Department of General Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Medicine
|January 21, 2026
Resumen
Los pseudquistes pancreáticos, aunque raros, pueden causar hemorragias digestivas graves al erosionar las paredes del estómago y las arterias. La evaluación rápida de enfermedades pancreáticas es crucial en casos de hemorragia inexplicable.
Área de la Ciencia:
- Gastroenterología; Patología Quirúrgica
Sus antecedentes:
- Los pseudquistes pancreáticos son colecciones raras de líquido que a menudo surgen de pancreatitis o traumatismos.; Si bien muchos se resuelven espontáneamente, los casos sintomáticos pueden requerir intervención.
Objetivo del estudio:
- Informar un caso raro de hemorragia gastrointestinal masiva causada por un pseudquiste pancreático.; Enfatizar la importancia de considerar la patología pancreática en hemorragias gastrointestinales inexplicables.
Principales métodos:
- Un hombre de 45 años presentó hematemesis y melena graves, inicialmente diagnosticado erróneamente como gastritis.; Las imágenes revelaron un pseudquiste pancreático que erosionaba el estómago y la arteria gástrica.; Se realizó una intervención quirúrgica de emergencia.
Principales resultados:
- El paciente se sometió a cirugía exitosa y se recuperó completamente.; Las imágenes de seguimiento confirmaron la resolución de la lesión gástrica.
Conclusiones:
- Este caso subraya que los pseudquistes pancreáticos pueden presentarse con hemorragias gastrointestinales potencialmente mortales.; Los pacientes con hemorragias inexplicables deben ser evaluados para detectar pseudquistes pancreáticos, particularmente aquellos con antecedentes de pancreatitis.
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