A case of chronic pancreatitis with pseudoaneurysm rupturing into a pseudocyst.
A 44-year-old man with alcohol-induced chronic pancreatitis was referred to our institute for evaluation of severe anemia. The hemoglobin was 2.6g/dl. The results of upper gastrointestinal and colonic examination were negative. Computed tomography and ultrasound examination revealed a pseudocyst in the head of the pancreas. A pseudoaneurysm of the anterior superior pancreaticoduodenal artery shown by angiography appeared to have caused gastrointestinal bleeding by rupturing into the pancreatic cyst connected to the main pancreatic duct. A pyrorus-preserving pancreaticoduodenectomy was performed successfully.
Takeuchi
H
H
Department of Surgery, Iwakuni National Hospital, Yamaguchi, Japan.
Konaga
E
E
Tanemoto
K
K
Gotoh
K
K
Murata
K
K
Murakami
I
I
D000328:Adult; D000437:Alcoholism / Q000150:complications*; D017541:Aneurysm, False / Q000150:complications*; D002908:Chronic Disease; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications*; D010195:Pancreatitis / Q000150:complications*; D012422:Rupture, Spontaneous / Q000150:complications