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http://dx.doi.org/10.3904/kjm.2012.82.6.713

A Case of Pancreatic Pseudocyst Presenting as Duodenal Bleeding  

Lee, Jeong-Hwa (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Kwon, Ki-Hyun (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Ha, Dong-Cheon (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Kim, Bo-Kyoung (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Jung, Seung-Hye (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Kim, Yeon-Soo (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Lee, Dong-Soo (Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Publication Information
The Korean Journal of Medicine / v.82, no.6, 2012 , pp. 713-717 More about this Journal
Abstract
Pancreatic pseudocysts occur following acute pancreatitis, chronic pancreatitis or secondary to pancreatic trauma. Most pancreatic pseudocysts are located in or around the pancreas, but they can be found in all the potential spaces around viscera in and outside of the abdominal cavity. The complications of pancreatic pseudocyst are infection, rupture, obstruction, fistula, or hemorrhage. Hemorrhage is a rare but frequently fatal complication of pancreatic pseudocysts. We report a case of pancreatic pseudocyst presented as bleeding of duodenum, which was misidentified for duodenal submucosal tumor bleeding.
Keywords
Pancreatic pseudocyst; Duodenum; Hemorrhage;
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1 Warshaw AL. Pancreatic cysts and pseudocysts: new rules for a new game. Br J Surg 1989;76:533-534.   DOI   ScienceOn
2 Imrie CW, Buist LJ, Shearer MG. Importance of cause in the outcome of pancreatic pseudocysts. Am J Surg 1988;156(3 Pt 1):159-162.   DOI   ScienceOn
3 Boerma D, Obertop H, Gouma DJ. Pancreatic pseudocysts in chronic pancreatitis: surgical or interventional drainage? Ann Ital Chir 2000;71:43-50.
4 Pitchumoni CS, Agarwal N. Pancreatic pseudocysts: when and how should drainage be performed? Gastroenterol Clin North Am 1999;28:615-639.   DOI
5 Walt AJ, Bouwman DL, Weaver DW, Sachs RJ. The impact of technology on the management of pancreatic pseudocyst: fifth annual Samuel Jason Mixter Lecture. Arch Surg 1990;125: 759-763.   DOI   ScienceOn
6 Grendell JH, Cello JP. Chronic pancreatitis. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. 4th ed. Philadelphia: WB Saunders, 1989:1842-1872.
7 Habashi S, Draganov PV. Pancreatic pseudocyst. World J Gastroenterol 2009;15:38-47.   DOI   ScienceOn
8 Jarmockik P, Banaszkiewicz Z, Swiatkiekiewicz A, Jawien A. Intracystic bleeding in course of pancreatic pseudocyst: case study. Gastroenterol Pol 2000;7:225-227.
9 Bradley EL 3rd. A clinically based classification system for acute pancreatitis: summary of the International symposium on acute pancreatitis, Atlanta, Ga, September 11 through 13, 1992. Arch Surg 1993;128:586-590.   DOI   ScienceOn
10 You CR, Shin SW, Lee BI, et al. Upper gastrointestinal hemorrhage from pancreatic pseudocyst involving the duodenum: a case report. Korean J Gastrointest Endosc 2004;29:217-221.
11 Kim YH, Seo CH. Treatment of an intrahepatic pseudocyst induced by acute aggravation of chronic pancreatitis. Korean J Med 2009;77(Suppl 2):S306-S310.
12 Bellon EM, George CR, Schreiber H, Marshall JB. Pancreatic pseudocysts of the duodenum. AJR Am J Roentgenol 1979;133: 827-831.   DOI   ScienceOn
13 Boulanger S, Volpe CM, Ullah A, Lindfield V, Doerr R. Pancreatic pseudocyst with biliary fistula: treatment with endoscopic internal drainage. South Med J 2001;94:347-349.   DOI
14 Tanaka A, Takeda R, Utsunomiya H, Kataoka M, Mukaihara S, Hayakawa K. Severe complications of mediastinal pancreatic pseudocyst: report of esophagobronchial fistula and haemothorax. J Hepatobiliary Pancreat Surg 2000;7:86-91.   DOI   ScienceOn
15 Flati G, Salvatori F, Porowska B, et al. Severe hemorrhagic complications in pancreatitis. Ann Ital Chir 1995;66:233-237.
16 Van Rooyen W, van Blankenstein M, Eeftinck Schattenkerk M, et al. Haemorrhage from the pancreatic duct: a rare form of upper gastrointestinal bleeding. Br J Surg 1984;71:137-140.   DOI   ScienceOn
17 Triller J, Seiler C, Blumgart LH. Acute intestinal haemorrhage in a pancreatic pseudocyst-colic fistula. Rofo 1989;151:527-531.   DOI   ScienceOn
18 Yoon YB, Kim TH, Sheen GS, Kim YT, Kim CY. Conservative treatment of pancreatic pseudocyst. Korean J Med 1996;51: 373-379.
19 Aghdassi A, Mayerle J, Kraft M, Sielenkämper AW, Heidecke CD, Lerch MM. Diagnosis and treatment of pancreatic pseudocysts in chronic pancreatitis. Pancreas 2008;36:105-112. Erratum in: Pancreas 2008;37:240.   DOI   ScienceOn
20 Kim KJ, Kim GG, Kim HJ, et al. A case of an enlarged pancreatic pseudocyst treated with percutaneous transgastric catheter drainage. Korean J Med 1990;38:830-834.