title: A case of severe acute pancreatitis and ischemic gastropathy caused by acute aortic dissection.
abstract: A 49-year-old man presented with chest pain and was given a diagnosis of aortic dissection based on computed tomography (CT) findings. Two days later the dissection reached the origin of the celiac artery and there was poor blood flow from the body to the tail of the pancreas and fundus of the stomach wall. Severe acute pancreatitis developed. Endoscopy showed a near-circumferential gastric ulcer in the gastric cardia and we diagnosed ischemic gastropathy. A fistula between the area of infected pancreatic necrosis and the stomach had formed spontaneously and the necrotic tissue was draining into the stomach. His recovery was uneventful.
authors.affiliation: Fourth Department of Internal Medicine, Sapporo Medical University.
authors.forename: Ikumi
authors.initials: I
authors.lastname: Umeda
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Ishiwatari
authors.forename: Makoto
authors.initials: M
authors.lastname: Yoshida
authors.forename: Kouji
authors.initials: K
authors.lastname: Miyanishi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sato
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kofune
authors.forename: Risyu
authors.initials: R
authors.lastname: Takimoto
authors.forename: Junji
authors.initials: J
authors.lastname: Kato
authors.forename: Makoto
authors.initials: M
authors.lastname: Meguro
authors.forename: Kouichi
authors.initials: K
authors.lastname: Hirata
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications*; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology*; D013270:Stomach / Q000098:blood supply; D013272:Stomach Diseases / Q000209:etiology*