Korean Journal of Gastrointestinal Endoscopy  2005;31(4):273-277

Rupture of a Bleeding Pancreatic Pseudocyst into the Stomach: a Case Report.

Young Don KIM 1 ; Byung Kyu NAH ; Jung Won HWANG ; Hyun Il HONG ; Sung Kyu YOON ; Koon Hee HAN ; Hye Young CHOI ; Kwang Seok KIM ; Jae Hong AHN ; Gab Jin CHEON

Affiliations

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Keywords

Pseudoaneurysm rupture; Embolization

Country

Republic of Korea

Language

Korean

Abstract

Pancreatic pseudocyst is a well-known complication of pancreatitis. However spontaneous perforation and/or fistularization is rare. Perforations into the free peritoneal cavity, stomach, duodenum, colon, portal vein, pleural cavity, and through the abdominal wall have been reported. Rupture of pseudoaneurysm or bleeding pseudocyst following pancreatitis is a severe complication that can lead to massive gastrointestinal bleeding. Especially, rupture of a bleeding pseudocyst into the stomach combined with splenic artery pesudoaneurysm is very rare. We experienced a case of massive bleeding from pancreatic pseudocyst with pseudoaneurysmal rupture into the stomach which was controlled nonoperatively by splenic artery coil embolization and conservative treatment. We report the case with the literatures review.