title: Pancreatic pseudocyst with hemorrhage into the gastrointestinal tract through the duct of Santorini.
abstract: Hemorrhage into a pancreatic pseudocyst frequently goes unrecognized. This catastrophic event can be heralded by intermittent bleeding, or may present as massive gastrointestinal hemorrhage. A high index of suspicion, proper diagnostic workup, and prompt surgical management afford the patient the best chance for survival. We report a patient with massive pseudocyst bleeding into the gastrointestinal tract via the duct of Santorini and discuss the current diagnostic and therapeutic approach.
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000175:diagnosis*; D010192:Pancreatic Pseudocyst / Q000175:diagnosis* / Q000601:surgery; D013670:Sodium Pertechnetate Tc 99m; D013671:Technetium Tc 99m Sulfur Colloid; D014055:Tomography, Emission-Computed
chemical_list: D013671:Technetium Tc 99m Sulfur Colloid; D013670:Sodium Pertechnetate Tc 99m