title: Haemorrhage from pancreatic pseudocysts presenting as upper gastrointestinal haemorrhage.
abstract: Haemorrhage is a rare but frequently fatal complication of pancreatic pseudocysts. The high mortality associated with pancreatic haemorrhage makes prompt and aggressive management essential. Occasionally, haemorrhage may present atypically, leading to delay in its diagnosis and management. This report details a case of pancreatic haemorrhage presenting as an upper gastrointestinal bleed and discusses the subsequent management. When managing patients with pancreatic pseudocysts who present with the stigmata of upper gastrointestinal bleeding, the possibility that the bleeding originates from the pancreas must always be borne in mind.
authors.affiliation: Hepatobiliary Research Fellow's Office, Ward 12, Leicester General Hospital, Gwendolen Road, Leicester LE1 6PY, United Kingdom. gg43@le.ac.uk
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Garcea
authors.forename: Matthew
authors.initials: M
authors.lastname: Krebs
authors.forename: Tom
authors.initials: T
authors.lastname: Lloyd
authors.forename: Keith
authors.initials: K
authors.lastname: Blanchard
authors.forename: Ashley R
authors.initials: AR
authors.lastname: Dennison
authors.forename: David
authors.initials: D
authors.lastname: Berry
mesh_terms: D000208:Acute Disease; D000792:Angiography; D013505:Digestive System Surgical Procedures / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D019512:Pancreatitis, Alcoholic / Q000150:complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome