Variceal hemorrhage as a consequence of spontaneous rupture of a pancreatic pseudocyst into the splenic vein.
We describe a case of a 68-yr-old man who died as a consequence of a massive bleed from esophageal varices. At autopsy, a pancreatic pseudocyst that communicated directly with the splenic vein was found. Histology confirmed that material from the pseudocyst had embolized to the peripheral portal veins, occluding many of them.
Demetrick
D J
DJ
Department of Pathology, Foothills Hospital, Calgary, Alberta, Canada.
Kelly
J K
JK
D000368:Aged; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D010181:Pancreatic Cyst / Q000150:complications*; D010192:Pancreatic Pseudocyst / Q000150:complications*; D012422:Rupture, Spontaneous; D013162:Splenic Vein; D013927:Thrombosis / Q000209:etiology