Donatini Gianluca, Iacconi Pietro, De Bartolomeis Carmine, Iacconi Chiara, Caldarelli Claudio, Caramella Davide, Chiarugi Massimo, Miccoli Paolo
Department of Surgery, University of Pisa, Via Roma 67, 56100 Pisa, PI, Italy.
Cases J. 2009 Aug 17;2:6793. doi: 10.4076/1757-1626-2-6793.
Bleeding from pancreatic pseudocyst's rupture into adjacent organs is a rare, but potentially fatal, complication of chronic pancreatitis requiring quick management. Timing of the rupture is unpredictable; early diagnosis and correct management is essential in preventing the bleeding.
We describe the case of a 53 years old male patient successfully treated with emergency surgery for massive hematemesis due to a rupture of a bleeding pseudocyst into the stomach. Patient underwent emergency laparotomy and suture of the bleeding vessel. At 5 years follow-up patient is in healthy condition.
This case shows to surgeons that pancreatic pseudocyst cannot be managed strictly with one rule and prompt surgical treatment is mandatory in case of haemodinamic instability.
胰腺假性囊肿破裂至邻近器官导致出血是慢性胰腺炎一种罕见但可能致命的并发症，需要迅速处理。破裂时间无法预测；早期诊断和正确处理对于预防出血至关重要。
我们描述了一名53岁男性患者的病例，该患者因出血性假性囊肿破裂至胃导致大量呕血，经急诊手术成功治疗。患者接受了急诊剖腹手术并缝合了出血血管。随访5年，患者健康状况良好。
该病例向外科医生表明，胰腺假性囊肿不能严格按照单一规则处理，在血流动力学不稳定的情况下，必须立即进行手术治疗。
