Massive upper gastrointestinal bleeding from a pancreatic pseudocyst rupture: a case report.
BACKGROUND
Bleeding from pancreatic pseudocyst's rupture into adjacent organs is a rare, but potentially fatal, complication of chronic pancreatitis requiring quick management. Timing of the rupture is unpredictable; early diagnosis and correct management is essential in preventing the bleeding.


METHODS
We describe the case of a 53 years old male patient successfully treated with emergency surgery for massive hematemesis due to a rupture of a bleeding pseudocyst into the stomach. Patient underwent emergency laparotomy and suture of the bleeding vessel. At 5 years follow-up patient is in healthy condition.


CONCLUSIONS
This case shows to surgeons that pancreatic pseudocyst cannot be managed strictly with one rule and prompt surgical treatment is mandatory in case of haemodinamic instability.
Donatini
Gianluca
G
Department of Surgery, University of Pisa, Via Roma 67, 56100 Pisa, PI, Italy. giacko76@hotmail.com
Iacconi
Pietro
P
De Bartolomeis
Carmine
C
Iacconi
Chiara
C
Caldarelli
Claudio
C
Caramella
Davide
D
Chiarugi
Massimo
M
Miccoli
Paolo
P