de Perrot M, Bühler L, Mentha G, Morel P
Département de chirurgie, Hôpitaux universitaires de Genève.
Schweiz Med Wochenschr. 1998 May 30;128(22):853-5.
We report on a patient with alcoholic chronic pancreatitis and intermittent upper gastrointestinal haemorrhage. Old blood was seen in the duodenum but no bleeding source could be identified by endoscopy. Computed tomography scanner and angiography disclosed an arterial pseudoaneurysm of the pancreatic tail, and left splenopancreatectomy was performed. In cases of upper gastrointestinal haemorrhage, the pancreas should be considered as a bleeding source if endoscopies remain negative and the patient presents with chronic pancreatitis.
我们报告了一例患有酒精性慢性胰腺炎并伴有间歇性上消化道出血的患者。在十二指肠中发现了陈旧性血液,但通过内镜检查未发现出血源。计算机断层扫描和血管造影显示胰腺尾部有一个动脉假性动脉瘤,遂进行了脾胰体尾切除术。在上消化道出血的病例中,如果内镜检查结果为阴性且患者患有慢性胰腺炎,则应考虑胰腺为出血源。