Ruptured pancreatic pseudocysts: diagnosis by endoscopy. Report of 3 cases.
Report on 3 cases of spontaneous perforation of a pancreatic pseudocyst into the stomach; presenting symptom was in each case an acute upper GI-bleeding. The pseudocyst was endoscopically seen as a well delineated, hemorrhagic protrusion into the stomach. After full perforation the spontaneous ostium had the appearance of a surgical anastomosis. High amylase concentration in the aspirate ave further diagnostic evidence. All 3 patients survived, 2 of them without surgery.
D000328:Adult; D004724:Endoscopy; D005747:Gastric Fistula / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D010181:Pancreatic Cyst / Q000175:diagnosis*; D010185:Pancreatic Fistula / Q000209:etiology; D012422:Rupture, Spontaneous