A Case of Hemorrhage into Pancreatic Pseudocyst N. Hayakawa 1 , S. Hichino 1 , T. Sato 1 , Y. Nimura 2 , N. Nakashima 3 1Dept. of Surg., Yachiyo Hospital 21 st Dept. of Surg., Nagoya Univ., School of Medicine 3Dept. of Clinicalpathology, Nagoya Univ. Hospital pp.983-990
Published Date 1978/7/25
DOI https://doi.org/10.11477/mf.1403107377
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 A 62-year-old-man entered the Yachiyo Hospital on February 14,1977, complaining of anorexia, upper abdominal fullness and epigastralgia. The patient had been a heavy drinker for 30 years. He had no past history or family history of gastrointestinal disease.

 Barium meal X-ray examination demonstrated an extrinsic pressure on the upper part of the gastric body and the deformity of the fornix. ERCP revealed an irregular main pancreatic duct and a pseudocyst at the body of the pancreas. Selective celiac angiogram showed an extravascular retention of the contrast medium communicated with the right gastroepiploic artery. This retention was located around the tail of the pancreas and did not seem to be the same pseudocyst found by ERCP because of its location. Laparotemy was performed on March 18, 1977. The body and tail of pancreas was resected. There were two cysts, one of which adhered to the stomach. The other was located at the tail of the pancreas and its content was coagulated blood.

 Microscopic examination of the resected specimen revealed fibrosis and many hemorrhagic and necrotic lesions.

 The pertinent literature is reviewed.

Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.


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