Hall R I, Lavelle M I, Venables C W
Gut. 1982 Mar;23(3):250-5. doi: 10.1136/gut.23.3.250.
Chronic pancreatitis is an infrequently considered cause of gastrointestinal bleeding. Four cases are described who presented to a surgical unit in a year. One patient bled down the main pancreatic duct from a splenic artery pseudoaneurysm, one had a fatal haemorrhage from a superior mesenteric artery aneurysm which ruptured into the duodenum, and two were considered to have bled from vessels in the stomach or colon which were involved in the peripancreatic inflammatory tissues. The difficulties in diagnosing these patients are described and the report emphasises that the diagnosis should be considered in obscure cases of gastrointestinal bleeding especially where there is a history of alcohol abuse and left upper quadrant or epigastric pain.
慢性胰腺炎是胃肠道出血较少被考虑到的病因。本文描述了一年内就诊于一个外科病房的4例病例。1例患者因脾动脉假性动脉瘤经主胰管出血，1例因肠系膜上动脉动脉瘤破裂至十二指肠导致致命性出血，另外2例被认为是胃或结肠内与胰周炎性组织相关的血管出血。文中描述了诊断这些患者的困难之处，该报告强调，在不明原因的胃肠道出血病例中，尤其是有酗酒史且伴有左上腹或上腹部疼痛时，应考虑慢性胰腺炎的诊断。
