Haemorrhage through the ampulla of Vater.
A patient with chronic pancreatitis presented with a series of massive upper gastrointestinal haemorrhages due to bleeding into the pancreatic duct. This report emphasizes the value of intensive investigation before surgery, since it may be impossible to identify the site of bleeding at laparotomy.
D000368:Aged; D014670:Ampulla of Vater; D000792:Angiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000098:blood supply; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis; D014463:Ultrasonography