Acute pancreatitis associated with massive bleeding due to a duodenal ulcer.

Abstract

A 74-year-old man presented to the emergency department with acute abdominal pain in addition to anemia and melena, which were suspected to be due to gastrointestinal bleeding. Computed tomography (CT) revealed a blood-filled duodenum and acute pancreatitis. We prioritized treatments for pancreatitis, as the vital signs were stable, and temporary hemostasis was achieved. Two days later, esophagogastroduodenoscopy revealed a duodenal ulcer with an exposed vessel, and endoscopic hemostasis was performed. We urge clinicians to consider the possibility of pancreatitis associated with massive bleeding due to a duodenal ulcer.

• Authors: Daisuke Uchida, Yoshinari Kawai, Hironari Kato, Hiroyuki Okada
• Journal: Clinical journal of gastroenterology (Clin J Gastroenterol) Vol. 12 Issue 4 Pg. 301-306 (Aug 2019) ISSN: 1865-7265 [Electronic] Japan
• PMID: 30694427 (Publication Type: Case Reports, Journal Article)

Topics

• Abdomen, Acute (diagnostic imaging, etiology)
• Acute Disease
• Aged
• Duodenal Ulcer (complications, diagnostic imaging)
• Endoscopy, Digestive System (methods)
• Hemostasis, Endoscopic (methods)
• Humans
• Male
• Pancreatitis (diagnostic imaging, etiology)
• Peptic Ulcer Hemorrhage (complications, diagnostic imaging, therapy)
• Tomography, X-Ray Computed