A Gastric Hemorrhage through the Fistula between Stomach and Pancreatic Pseudocyst with Ruptured Splenic Artery Pseudoaneurysm : A Case Report.
- Author:
Gum O JUNG
1
;
Dong Eun PARK
;
Kwan Mook CHAE
;
Sang Hyun PARK
Author Information
1. Department of Surgery, Wonkwang University Collage of Medicine, Korea. Knife@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Chronic pancreatitis;
Pseudocyst;
Aneurysm;
Fistula;
Pancreatectomy
- MeSH:
Aneurysm;
Aneurysm, False;
Fistula;
Hemorrhage;
Pancreatectomy;
Pancreatic Pseudocyst;
Pancreatitis, Chronic;
Splenic Artery;
Stomach
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2010;14(2):120-124
- CountryRepublic of Korea
- Language:Korean
-
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.
