A Gastric Hemorrhage through the Fistula between Stomach and Pancreatic Pseudocyst with Ruptured Splenic Artery Pseudoaneurysm : A Case Report
비장동맥 가성동맥류가 합병된 출혈성 췌장가성낭종에 의한 상부위장관 대량출혈 1예
비장동맥 가성동맥류가 합병된 출혈성 췌장가성낭종에 의한 상부위장관 대량출혈 1예
Gum O Jung, M.D., Dong Eun Park, M.D., Kwan Mook Chae, M.D., Sang Hyun Park, M.D.1
정금오, 박동은, 채권묵, 박상현1
Departments of Surgery, 1Radiology, Wonkwang University Collage of Medicine
원광대학교 의과대학 외과학교실, 1영상의학교실
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract- Pancreatic pseudocysts are a common complication of both acute and chronic pancreatitis. But fistular formation or spontaneous perforation of a pancreatic pseudocyst through adjacent organs is rare. Even rarer is bleeding through the fistula between stomach and pancreatic pseudocyst with splenic artery pseudoaneurysm. Therapeutic modalities for ruptured splenic artery pseudoaneurysm with pancreatic pseudocyst include surgical correction and/or angiographic intervention likely splenic artery embolization. However, there seem to be a debate about which treatments are superior. We experienced a case of massive gastric bleeding through a gastrocystic fistula that was controlled surgically by distal pancreatectomy and gastric wedge resection. We report the case with a literature review.
- Keywords : Chronic pancreatitis, Pseudocyst, Aneurysm, Fistula, Pancreatectomy
- August 2024, 28 (3)
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