Angiographic demonstration of gastrointestinal bleeding through the pancreatic duct.
This article describes the angiographic findings in the case of a bleeding stump of the left gastric artery, following subtotal gastrectomy, into a pancreatic pseudocyst with instantaneous opacification of the pancreatic duct and duodenum. This is the first reported case to demonstrate a frank bleed with total opacification of the pancreatic duct. Based on our experience and previously reported cases, we conclude that subselective catheterization of the bleeding vessel is necessary to demonstrate total opacification of the pancreatic duct in such cases.
D000368:Aged; D000792:Angiography; D002445:Celiac Artery / Q000000981:diagnostic imaging; D002908:Chronic Disease; D005260:Female; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging; D010181:Pancreatic Cyst / Q000000981:diagnostic imaging*; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging*; D010195:Pancreatitis / Q000150:complications; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D013270:Stomach / Q000098:blood supply*