Upper gastrointestinal bleeding, chronic pancreatitis and a near miss
| Autor: | Homoyon Mehrzad, Ella Ferdinand, Ashish Awasthi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Abdominal pain medicine.medical_specialty Gastroenterology Article Gastroduodenal artery Pseudoaneurysm Upper Gastrointestinal Tract Internal medicine medicine.artery Pancreatitis Chronic medicine Humans Pancreatitis chronic medicine.diagnostic_test business.industry General Medicine Arteries medicine.disease Endoscopy medicine.anatomical_structure Abdomen Pancreatitis Upper gastrointestinal bleeding medicine.symptom business Gastrointestinal Hemorrhage Aneurysm False |
| Popis: | A 43-year-old man presented with a 2-day history of haematemesis and melaena. His medical history included chronic pancreatitis and alcohol-induced liver cirrhosis. Gastroscopy revealed a small amount of blood in the duodenum but no bleeding source. Following endoscopy, he remained stable but his haemoglobin dropped from 9.8 to 7.8 g/dL in 4 days. A repeat endoscopy was also unremarkable. The following day he developed severe abdominal pain and haemodynamic instability. An urgent CT of the abdomen was performed (figure 1). This demonstrated a large gastroduodenal artery pseudoaneurysm. This was successfully … |
| Databáze: | OpenAIRE |
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