Skip to main content
Erschienen in: Clinical Journal of Gastroenterology 4/2019

29.01.2019 | Case Report

Acute pancreatitis associated with massive bleeding due to a duodenal ulcer

verfasst von: Daisuke Uchida, Yoshinari Kawai, Hironari Kato, Hiroyuki Okada

Erschienen in: Clinical Journal of Gastroenterology | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Abougergi MS, Travis AC, Saltzman JR. Impact of day of admission on mortality and other outcomes in upper GI hemorrhage: a nationwide analysis. Gastrointest Endosc. 2014;80:228–35.CrossRefPubMed Abougergi MS, Travis AC, Saltzman JR. Impact of day of admission on mortality and other outcomes in upper GI hemorrhage: a nationwide analysis. Gastrointest Endosc. 2014;80:228–35.CrossRefPubMed
2.
Zurück zum Zitat Choi YH, Yoon SM, Kim EB, et al. A rare case of pancreas divisum accompanied by acute pancreatitis following endoscopic hemostasis for duodenal ulcer bleeding. Korean J Gastroenterol. 2017;69:248–52.CrossRefPubMed Choi YH, Yoon SM, Kim EB, et al. A rare case of pancreas divisum accompanied by acute pancreatitis following endoscopic hemostasis for duodenal ulcer bleeding. Korean J Gastroenterol. 2017;69:248–52.CrossRefPubMed
3.
Zurück zum Zitat Dibra A, Kellici S, Celiku E, et al. Intramural duodenal hematoma after submucosal injection of epinephrine for a bleeding ulcer: case report and review. G Chir. 2015;36:29–31.PubMedPubMedCentral Dibra A, Kellici S, Celiku E, et al. Intramural duodenal hematoma after submucosal injection of epinephrine for a bleeding ulcer: case report and review. G Chir. 2015;36:29–31.PubMedPubMedCentral
4.
Zurück zum Zitat Tashima T, Ryozawa S, Ohata K. Rare case of severe acute pancreatitis following over-the-scope clip-assisted duodenal endoscopic mucosal resection using a cap-fitted endoscope in a patient with pancreas divisum. Dig Endosc. 2018;30:679.CrossRefPubMed Tashima T, Ryozawa S, Ohata K. Rare case of severe acute pancreatitis following over-the-scope clip-assisted duodenal endoscopic mucosal resection using a cap-fitted endoscope in a patient with pancreas divisum. Dig Endosc. 2018;30:679.CrossRefPubMed
5.
Zurück zum Zitat Shiozawa K, Watanabe M, Igarashi Y, et al. Acute pancreatitis secondary to intramural duodenal hematoma: case report and literature review. World J Radiol. 2010;2:283–8.CrossRefPubMedPubMedCentral Shiozawa K, Watanabe M, Igarashi Y, et al. Acute pancreatitis secondary to intramural duodenal hematoma: case report and literature review. World J Radiol. 2010;2:283–8.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Laine L, Jensen DM. Management of patients with ulcer bleeding. Am J Gastroenterol. 2012;107:345–60.CrossRefPubMed Laine L, Jensen DM. Management of patients with ulcer bleeding. Am J Gastroenterol. 2012;107:345–60.CrossRefPubMed
7.
Zurück zum Zitat Loffroy R, Rao P, Ota S, et al. Embolization of acute nonvariceal upper gastrointestinal hemorrhage resistant to endoscopic treatment: results and predictors of recurrent bleeding. Cardiovasc Intervent Radiol. 2010;33:1088–100.CrossRefPubMed Loffroy R, Rao P, Ota S, et al. Embolization of acute nonvariceal upper gastrointestinal hemorrhage resistant to endoscopic treatment: results and predictors of recurrent bleeding. Cardiovasc Intervent Radiol. 2010;33:1088–100.CrossRefPubMed
8.
Zurück zum Zitat Romcea AA, Tantau M, Seicean A, et al. The etiology of upper gastrointestinal bleeding in cirrhotic patients. Clujul Med. 2013;86:21–3.PubMedPubMedCentral Romcea AA, Tantau M, Seicean A, et al. The etiology of upper gastrointestinal bleeding in cirrhotic patients. Clujul Med. 2013;86:21–3.PubMedPubMedCentral
9.
Zurück zum Zitat Hashizume M, Tanoue K, Ohta M, et al. Vascular anatomy of duodenal varices: angiographic and histopathological assessments. Am J Gastroenterol. 1993;88:1942–5.PubMed Hashizume M, Tanoue K, Ohta M, et al. Vascular anatomy of duodenal varices: angiographic and histopathological assessments. Am J Gastroenterol. 1993;88:1942–5.PubMed
10.
Zurück zum Zitat Copelan A, Chehab M, Dixit P, et al. Safety and efficacy of angiographic occlusion of duodenal varices as an alternative to TIPS: review of 32 cases. Ann Hepatol. 2015;14:369–79.CrossRefPubMed Copelan A, Chehab M, Dixit P, et al. Safety and efficacy of angiographic occlusion of duodenal varices as an alternative to TIPS: review of 32 cases. Ann Hepatol. 2015;14:369–79.CrossRefPubMed
11.
13.
Zurück zum Zitat Silva JD, Veloso N, Godinho R, et al. Fatal acute pancreatitis following sclerosis of a bleeding duodenal ulcer complicated by an intramural duodenal hematoma. Rev Esp Enferm Dig. 2012;104:603–4.CrossRefPubMed Silva JD, Veloso N, Godinho R, et al. Fatal acute pancreatitis following sclerosis of a bleeding duodenal ulcer complicated by an intramural duodenal hematoma. Rev Esp Enferm Dig. 2012;104:603–4.CrossRefPubMed
14.
Zurück zum Zitat Chang CM, Huang HH, How CK. Acute pancreatitis with an intramural duodenal hematoma. Intern Med. 2015;54:755–7.CrossRefPubMed Chang CM, Huang HH, How CK. Acute pancreatitis with an intramural duodenal hematoma. Intern Med. 2015;54:755–7.CrossRefPubMed
15.
Zurück zum Zitat Sugai K, Kajiwara E, Mochizuki Y, et al. Intramural duodenal hematoma after endoscopic therapy for a bleeding duodenal ulcer in a patient with liver cirrhosis. Intern Med. 2005;44:954–7.CrossRefPubMed Sugai K, Kajiwara E, Mochizuki Y, et al. Intramural duodenal hematoma after endoscopic therapy for a bleeding duodenal ulcer in a patient with liver cirrhosis. Intern Med. 2005;44:954–7.CrossRefPubMed
16.
Zurück zum Zitat Gonzalez-Gonzalez JA, Garcia-Compean D, Vazquez-Elizondo G, et al. Nonvariceal upper gastrointestinal bleeding in patients with liver cirrhosis. Clinical features, outcomes and predictors of in-hospital mortality. A prospective study. Ann Hepatol. 2011;10:287–95.CrossRefPubMed Gonzalez-Gonzalez JA, Garcia-Compean D, Vazquez-Elizondo G, et al. Nonvariceal upper gastrointestinal bleeding in patients with liver cirrhosis. Clinical features, outcomes and predictors of in-hospital mortality. A prospective study. Ann Hepatol. 2011;10:287–95.CrossRefPubMed
Metadaten
Titel
Acute pancreatitis associated with massive bleeding due to a duodenal ulcer
verfasst von
Daisuke Uchida
Yoshinari Kawai
Hironari Kato
Hiroyuki Okada
Publikationsdatum
29.01.2019
Verlag
Springer Japan
Erschienen in
Clinical Journal of Gastroenterology / Ausgabe 4/2019
Print ISSN: 1865-7257
Elektronische ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-019-00942-6

Weitere Artikel der Ausgabe 4/2019

Clinical Journal of Gastroenterology 4/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.