Duodenal ulceration into the cystic artery with massive hemorrhage.

Abstract:

:This is a case presentation of a unique cause of intestinal bleeding. A duodenal ulcer eroded into the superficial branch of the cystic artery, causing massive intestinal hemorrhage. The patient, a 76-year-old woman, presented with left upper abdominal and left back pain secondary to cystic lesions in the pancreas body and tail. Stress after operation and complication of leakage of pancreatic juice after distal pancreatectomy with splenectomy and diclofenac sodium administration may have caused a deep peptic ulcer to erode the cystic artery. We performed a transfixing ligation of the bleeding vessel, serosal suture of ulcer of the gallbladder, and simple closure of the duodenal ulcer with covering greater omentum. There were no serious complications after the operation, and the patient made an uneventful recovery.

journal_name

J Clin Gastroenterol

authors

Iwamura T,Uchino R,Oshikata S,Shimozono T,Kubota E,Toyoda K

doi

10.1097/00004836-199903000-00019

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

171-4

issue

2

eissn

0192-0790

issn

1539-2031

journal_volume

28

pub_type

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