title: Massive upper gastrointestinal bleeding from a pancreatic pseudocyst rupture: a case report.
abstract: 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.
authors.affiliation: Department of Surgery, University of Pisa, Via Roma 67, 56100 Pisa, PI, Italy. giacko76@hotmail.com
authors.forename: Gianluca
authors.initials: G
authors.lastname: Donatini
authors.forename: Pietro
authors.initials: P
authors.lastname: Iacconi
authors.forename: Carmine
authors.initials: C
authors.lastname: De Bartolomeis
authors.forename: Chiara
authors.initials: C
authors.lastname: Iacconi
authors.forename: Claudio
authors.initials: C
authors.lastname: Caldarelli
authors.forename: Davide
authors.initials: D
authors.lastname: Caramella
authors.forename: Massimo
authors.initials: M
authors.lastname: Chiarugi
authors.forename: Paolo
authors.initials: P
authors.lastname: Miccoli