Recurrent Upper Gastrointestinal Bleeding from Gastro-Cystic Fistula and Pancreatic Pseudocyst Bleeding.
- Author:
Yo han PARK
1
;
Byounghwan LEE
;
Jihyun LIM
;
Hyungju KANG
;
Changhee LEE
;
Yeon Suk KIM
Author Information
1. Department of Internal Medicine, Incheon Sarang Hospital, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Upper gastrointestinal bleeding;
Fistula;
Splenic artery pseudoaneurysm;
Pancreatic pseudocyst
- MeSH:
Aneurysm, False;
Emergency Service, Hospital;
Endoscopy;
Extravasation of Diagnostic and Therapeutic Materials;
Fistula*;
Follow-Up Studies;
Hematemesis;
Hematoma;
Hemorrhage*;
Humans;
Male;
Melena;
Middle Aged;
Pancreatic Pseudocyst*;
Splenic Artery;
Stomach
- From:Korean Journal of Pancreas and Biliary Tract
2014;19(2):111-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bleeding from pancreatic pseudocyst is a rare complication. Furthermore, massive upper gastrointestinal (GI) bleeding from gastro-cystic fistula formation and intracystic bleeding are both extremely rare and are also potentially fatal. A 53-year-old male was referred to the emergency room with melena and hematemesis. An urgent endoscopy revealed a massive gastric hematoma but showed no specific bleeding focus. Gastrocystic fistula formation and intracystic bleeding leakage to the stomach were suspicious in the follow-up endoscopy. A contrast-enhanced computed tomography scan demonstrated splenic artery pseudoaneurysm and extravasation of contrast media into the cyst that was abutted to the greater curvature side of the stomach. A splenic artery embolization was performed and no further bleeding occurred after embolization. Upper GI bleeding from gastro-cystic fistula and intracystic bleeding are rare but possible. Therefore, this possibility should be considered in the unknown cause of an upper GI bleeding in a patient with pancreatic pseudocyst.
