title: Massive upper gastrointestinal bleeding - complication of pancreatic pseudocyst.
abstract: Massive bleeding is an unusual complication of pancreatitis. Most patients have chronic pancreatic disorders associated with pancreatic pseudocyst. We present the case of a patient, aged 49 years, known with alcohol-induced chronic pancreatitis, corporeal-caudal pancreatic pseudocyst expanded in the omental bursa, admitted to the emergency room because of hematemesis and melena, the endoscopy revealing, as a source, the erosion through the posterior gastric wall by the pseudocyst. The gastrostomy and haemostasis in situ of the source and the pseudocyst-gastric anastomosis was the solution adopted, with favourable long-term evolution.
authors.affiliation: 3rd Department, Emergency General Surgery, Emergency University Hospital Bucharest; "Carol Davila" University of Medicine and Pharmacy, Bucharest.
authors.forename: C I
authors.initials: CI
authors.lastname: Mavrodin
authors.affiliation: 3rd Department, Emergency General Surgery, Emergency University Hospital Bucharest; "Carol Davila" University of Medicine and Pharmacy, Bucharest.
authors.forename: G
authors.initials: G
authors.lastname: Pariza
authors.affiliation: 3rd Department, Emergency General Surgery, Emergency University Hospital Bucharest; "Carol Davila" University of Medicine and Pharmacy, Bucharest.
authors.forename: V
authors.initials: V
authors.lastname: Iordache
authors.affiliation: 3rd Department of Internal Medicine, Emergency University Hospital Bucharest; "Carol Davila" University of Medicine and Pharmacy, Bucharest.
authors.forename: C S
authors.initials: CS
authors.lastname: Pop
mesh_terms: D005774:Gastrostomy; D006470:Hemorrhage / Q000473:pathology* / Q000601:surgery; D016558:Hemostasis, Endoscopic; D006801:Humans; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000473:pathology; D016896:Treatment Outcome; D014463:Ultrasonography; D041742:Upper Gastrointestinal Tract / Q000000981:diagnostic imaging* / Q000601:surgery
keywords: cystogastrostomy; pancreatic pseudocyst; pancreatitis; upper gastrointestinal bleeding