Massive intraperitoneal hemorrhage from a pancreatic pseudocyst

Kelly, S. B.; Gauhar, Tooba Mahmud; Pollard, Rachel E.

doi:10.1016/s0002-9270(99)00515-8

Cited by 10 publications

(9 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8, 9) and in 1 case of ruptured pseudoaneurysm. Even when we delete the 5 cases of intracystic hemorrhage from our statistical analysis, the mortality rate of 14% (3 in 21 patients) compares favorably with previously expected mortalities of 25-40% [1,2,7,8] and is similar to the 12.5% mortality rate previously achieved with the use of angiographic procedures and with an aggressive surgical approach [11].…”

Section: Discussionsupporting

confidence: 72%

“…The prevalence of bleeding pseudocysts was 18% in one series of 102 cysts [5], 12% in another report of 131 cysts [2], and 2-31% in other surveys [6,7]. A prevalence of 3.2% bleeding pseudoaneurysms and pseudocysts was reported in a survey of 250 cases of chronic pancreatitis [8].…”

Section: Discussionmentioning

confidence: 86%

“…This later approach is routinely attempted today to obviate the use for emergency surgery which may be very treacherous and which carries high morbidity and mortality risks. Postoperative mortality of 20-30% for bleeding pseudocysts and bleeding pseudoaneurysms and as high as 43% from bleeding sites in the head of the pancreas have been reported [7][8][9][10][11]. It should be underlined however that although emergency angiographic procedures are routinely done following abnormal abdominal CT examinations, venous bleeding, small vessel and capillary bleeding and hemorrhagic pseudocysts can often escape angiographic detection.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hemorrhagic complications of pancreatitis: Radiologic evaluation with emphasis on CT imaging

2001

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hemorrhagic complications of pancreatitis: Radiologic evaluation with emphasis on CT imaging

2001

View full text Add to dashboard Cite

“…It identifies the vascular anatomy and the site of bleeding. Many authors required that routine CT angiography should be performed to all patients with pancreatic pseudocysts to identify pseudoaneurysm and to anticipate hemorrhage [6].…”

Section: Discussionmentioning

confidence: 99%

Management of a large bleeding pancreatic pseudocyst by embolization

Tilfine¹,

Tadili²,

Benkabbou³

et al. 2016

IJCRI

View full text Add to dashboard Cite

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.com Management of a large bleeding pancreatic pseudocyst by embolizationCharaf Tilfine, Jawad Tadili, Amine Benkabbou, Salwa Bouklata, Nabil Moatassim Billah ABSTRACT Introduction: Hemorrhage from a pancreatic pseudocyst is a rare and often fatal complication of pancreatic trauma and pancreatitis. The pancreatic enzymes can erode into adjacent vessels, resulting intracystic hemorrhage or bleeding into the peritoneal cavity, pancreatic duct, stomach, duodenum, colon, or retroperitoneum. Case Report: We present a case of a large post-traumatic pancreatic pseudocyst in a 17-year-old adolescent, complicated by an intracystic hemorrhage that was successfully treated by selective arterial embolization. Conclusion:A technical refinement both in diagnostic angiography and in transcatheter arterial embolization has strengthened the management of acute pancreatic pseudocyst hemorrhage. The embolization is an effective therapeutic alternative to surgery. A high index of suspicion should be maintained in any patient with a pseudocyst or a history of pancreatic trauma or chronic pancreatitis who presents with the abdominal pain, or falling hemoglobin level.

show abstract

“…Damaging of the weakened vascular wall by pancreatic enzymes is the cause of life -threatening haemorrhage, which if not treated, leads in 90% of cases to death (22). The blood flowing through the lumen of PPC and the main pancreatic duct can also go through to the duodenum or cumulate direct-ly in the peritoneal cavity (23,24) or retroperitoneal space, if the cyst is rupted. It is called "haemosuccus pancreaticus" or "Wirsugorrhagio" (20,25,26).…”

Section: Discussionmentioning

confidence: 99%

Haemorrhagic Shock as a Result of Bleeding to Pancreatic Pseudocysts - The Problem of Emergency Service

Olejarz¹,

Nowikiewicz²,

Piotrowski³

2009

Polish Journal of Surgery

View full text Add to dashboard Cite

: dr med. A. OlejarzPancreatic pseudocysts (PPC) depending on their size and location can cause life-threatening complications. The paper focuses on an infrequent cause of a haemorrhagic shock that can pose a substantial diagnostic and surgical problem, especially during emergency service. material and methods. In the years 1997-2002 five patients with bleeding to pancreatic pseudocysts were operated on due to urgent indications. In all of them the symptoms of bleeding into the digestive tract or to the retroperitoneal space diagnosed as a hypovolemic shock was the only indication to an urgent surgical intervention. The analysis was carried out on epidemiological data of patients, manner of treatment and its results. results. The group of patients consisted of 4 man and 1 women of mean age 40.6 years. The majority of patients (4 -i.e. 80%) had a history of acute pancreatitis and severe alcohol abuse. All hospitalized patients needed, in the perioperative period, intensive shock-controlling procedures (average blood preparation transfusions at the level of 6.6 units). In total, six operation procedures were performed (in one case with subsequent relaparotomy) -in 4 cases it was distal pancreatic resection with PPC, in 1 case -retroperitoneal space packing and drainage. Finally, 4 cured patients left the hospital, 1 died (mortality rate 20%). conclusions. PPC bleeding as a life threatening complication of acute pancreatitis requires quick diagnosis and effective treatment. A surgical procedure can be performed on many levels; the choice of an operation type depends on the patient's state, intraoperational conditions and the surgeon's experience. key words: complications of pancreatitis, pancreatic pseudocyst, haemorrhagic shock

show abstract

Massive intraperitoneal hemorrhage from a pancreatic pseudocyst

Cited by 10 publications

References 17 publications

Hemorrhagic complications of pancreatitis: Radiologic evaluation with emphasis on CT imaging

Hemorrhagic complications of pancreatitis: Radiologic evaluation with emphasis on CT imaging

Management of a large bleeding pancreatic pseudocyst by embolization

Haemorrhagic Shock as a Result of Bleeding to Pancreatic Pseudocysts - The Problem of Emergency Service

Contact Info

Product

Resources

About