Yokoyama I, Hashmi M A, Srinivas D, Shaikh K A, Levine S M, Sorokin J J, Camishion R C
Am J Gastroenterol. 1984 Oct;79(10):764-8.
An unusual case of gastrointestinal hemorrhage due to rupture of the splenic artery into the pancreatic duct in a patient with chronic pancreatitis is described. The diagnosis was suspected by observing blood coming from the papilla of Vater during duodenoscopy and corroborated by findings seen on splenic arteriography. Previously reported cases are reviewed. An etiology is discussed and a classification suggested. This obscure cause of gastrointestinal bleeding should be suspected when the more common causes of bleeding have been satisfactorily ruled out.
本文描述了一例慢性胰腺炎患者因脾动脉破裂进入胰管导致胃肠道出血的罕见病例。十二指肠镜检查时观察到来自 Vater 乳头的出血，怀疑有此诊断，脾动脉造影所见进一步证实了该诊断。回顾了先前报道的病例。讨论了病因并提出了分类。当已令人满意地排除更常见的出血原因时，应怀疑这种隐匿性胃肠道出血原因。
