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Recurrent Upper Gastrointestinal Bleeding from Gastro-Cystic Fistula and Pancreatic Pseudocyst Bleeding
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¹Ú¿äÇÑ(Park Yo-Han) - ÀÎõ»ç¶ûº´¿ø ³»°ú
À̺´È¯(Lee Byoung-Hwan) - ÀÎõ»ç¶ûº´¿ø ³»°ú
ÀÓÁöÇö(Lim Ji-Hyun) - ÀÎõ»ç¶ûº´¿ø ³»°ú
°ÇüÁÖ(Kang Hyung-Ju) - ÀÎõ»ç¶ûº´¿ø ³»°ú
ÀÌâÈñ(Lee Chang-Hee) - ÀÎõ»ç¶ûº´¿ø ³»°ú
±è¿¬¼®(Kim Yeon-Suk) - °¡ÃµÀÇ°úÇдëÇб³ ±æº´¿ø ³»°ú
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.
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»óºÎ À§Àå°ü ÃâÇ÷, ´©°ø, ºñÀå °¡¼ºµ¿¸Æ·ù, ÃéÀå °¡¼º³¶Á¾
Upper gastrointestinal bleeding, Fistula, Splenic artery pseudoaneurysm, Pancreatic pseudocyst
KMID :
0985520140190020111
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