[Two cases of pancreatic pseudocyst with bleeding].
We encountered 2 patients (No. 1 and 2) with pseudocyst hemorrhage of the pancreas. Patient No. 1, who presented with hemorrhagic shock due to rupture of a splenic aneurysm, was evaluated as a responder based on the response to the initial transfusion, and emergency TAE (transcatheter arterial embolization) was performed, which proved to be a successful life-saving measure. In Patient No. 2, also judged to be a responder, angiography was conducted and the course could be observed, because the hemorrhage was localized in the cyst. These results indicate that it is important to promptly select treatment policies based on the hemodynamic responses to the initial transfusion in cases with cystic hemorrhage of the pancreas.
Onodera
Makoto
M
Department of Critical Care Medicine, Iwate Medical University.
Fujino
Yasuhisa
Y
Inoue
Yoshihiro
Y
Imai
Satoko
S
Endo
Shigeatsu
S
D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000150:complications* / Q000628:therapy; D010192:Pancreatic Pseudocyst / Q000150:complications*