Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico

We report a 52 year old man with a pancreatic pseudocyst, that was admitted with severe abdominal pain, severe vomiting, fever and malaise. The clinical picture was considered secondary to a pseudocyst infection and the patient was operated, draining the infected cyst performing a necrosectomy and p...

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Autores principales:	Bosman V,Conrado, Sanhueza F,Miguel, Schnettler R,David, Rossi F,Ricardo, Whittle P,Carolina, Valderrama L,Rodrigo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Gastrointestinal hemorrhage Pancreatitis Pancreatoduodenectomy Pancreatic pseudocyst
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000100011
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spelling	oai:scielo:S0034-988720010001000112005-11-23Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínicoBosman V,ConradoSanhueza F,MiguelSchnettler R,DavidRossi F,RicardoWhittle P,CarolinaValderrama L,Rodrigo Gastrointestinal hemorrhage Pancreatitis Pancreatoduodenectomy Pancreatic pseudocyst We report a 52 year old man with a pancreatic pseudocyst, that was admitted with severe abdominal pain, severe vomiting, fever and malaise. The clinical picture was considered secondary to a pseudocyst infection and the patient was operated, draining the infected cyst performing a necrosectomy and pancreatocystojejunostomy. Forty eight hours after the operation, an ostomy bleeding was detected. A upper mesenteric artery angiography showed two pseudoaneurysms in the gastroduodenal artery, that were embolized. Bleeding stopped initially, but seven days later, it reappeard. The patient was subjected to an emergency pancreatoduodenectomy. Postoperative evolution was uneventful and the patient was discharged two weeks later. Spontaneous bleeding of pseudoaneurysms secondary to chronic pancreatitis is a complication with a 15 to 40% mortality that must be bore in mind (Rev Méd Chile 2001; 129: 81-85).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.1 20012001-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000100011es10.4067/S0034-98872001000100011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrointestinal hemorrhage Pancreatitis Pancreatoduodenectomy Pancreatic pseudocyst
spellingShingle	Gastrointestinal hemorrhage Pancreatitis Pancreatoduodenectomy Pancreatic pseudocyst Bosman V,Conrado Sanhueza F,Miguel Schnettler R,David Rossi F,Ricardo Whittle P,Carolina Valderrama L,Rodrigo Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico
description	We report a 52 year old man with a pancreatic pseudocyst, that was admitted with severe abdominal pain, severe vomiting, fever and malaise. The clinical picture was considered secondary to a pseudocyst infection and the patient was operated, draining the infected cyst performing a necrosectomy and pancreatocystojejunostomy. Forty eight hours after the operation, an ostomy bleeding was detected. A upper mesenteric artery angiography showed two pseudoaneurysms in the gastroduodenal artery, that were embolized. Bleeding stopped initially, but seven days later, it reappeard. The patient was subjected to an emergency pancreatoduodenectomy. Postoperative evolution was uneventful and the patient was discharged two weeks later. Spontaneous bleeding of pseudoaneurysms secondary to chronic pancreatitis is a complication with a 15 to 40% mortality that must be bore in mind (Rev Méd Chile 2001; 129: 81-85).
author	Bosman V,Conrado Sanhueza F,Miguel Schnettler R,David Rossi F,Ricardo Whittle P,Carolina Valderrama L,Rodrigo
author_facet	Bosman V,Conrado Sanhueza F,Miguel Schnettler R,David Rossi F,Ricardo Whittle P,Carolina Valderrama L,Rodrigo
author_sort	Bosman V,Conrado
title	Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico
title_short	Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico
title_full	Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico
title_fullStr	Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico
title_full_unstemmed	Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico
title_sort	hemorragia por ruptura de pseudoaneurisma pancreático.: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000100011
work_keys_str_mv	AT bosmanvconrado hemorragiaporrupturadepseudoaneurismapancreaticocasoclinico AT sanhuezafmiguel hemorragiaporrupturadepseudoaneurismapancreaticocasoclinico AT schnettlerrdavid hemorragiaporrupturadepseudoaneurismapancreaticocasoclinico AT rossifricardo hemorragiaporrupturadepseudoaneurismapancreaticocasoclinico AT whittlepcarolina hemorragiaporrupturadepseudoaneurismapancreaticocasoclinico AT valderramalrodrigo hemorragiaporrupturadepseudoaneurismapancreaticocasoclinico
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Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico

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