Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm

Obata, Taisuke; Matsumoto, Kazuyuki; Kato, Hironari; Yamazaki, Tatsuhiro; Fujii, Yuki; Tomoda, Takeshi; Horiguchi, Shigeru; Okada, Hiroyuki

doi:10.2169/internalmedicine.6445-20

Permalink : http://escholarship.lib.okayama-u.ac.jp/62274

ID	62274
FullText URL	fulltext.pdf 2.48 MB
Author	Obata, Taisuke Department of Gastroenterology, Okayama University Hospital Matsumoto, Kazuyuki Department of Gastroenterology, Okayama University Hospital ORCID Kaken ID publons Kato, Hironari Department of Gastroenterology, Okayama University Hospital ORCID Kaken ID researchmap Yamazaki, Tatsuhiro Department of Gastroenterology, Okayama University Hospital Fujii, Yuki Department of Gastroenterology, Okayama University Hospital Tomoda, Takeshi Department of Gastroenterology, Okayama University Hospital ORCID Horiguchi, Shigeru Department of Gastroenterology, Okayama University Hospital Okada, Hiroyuki Department of Gastroenterology, Okayama University Hospital Kaken ID publons researchmap
Abstract	A 76-year-old woman with branch duct intraductal papillary mucinous neoplasm (IPMN) was admitted with epigastric pain and vomiting. She had received warfarin due to a history of deep vein thrombosis. A blood test showed decreased serum hemoglobin and elevated serum amylase. Contrast-enhanced computed tomography revealed acute pancreatitis and formation of a pseudoaneurysm in the IPMN. We suspected rupture of a pseudoaneurysm and performed trans-catheter angiography. Angiography showed extravasation from the posterior superior pancreaticoduodenal artery, and coil embolization was performed. It is important to be alert for the formation of pseudoaneurysm in patients with cystic neoplasms.
Keywords	hemosuccus pancreaticus IPMN pseudoancurysm anticoagulation drug
Published Date	2021-07-01
Publication Title	Internal Medicine
Volume	volume60
Issue	issue13
Publisher	The Japanese Society of Internal Medicine
Start Page	2033
End Page	2038
ISSN	0918-2918
Content Type	Journal Article
language	English
OAI-PMH Set	岡山大学
Copyright Holders	© 2021 The Japanese Society of Internal Medicine
File Version	publisher
PubMed ID	33551406
DOI	10.2169/internalmedicine.6445-20
Web of Science KeyUT	000670413600007
Related Url	isVersionOf https://doi.org/10.2169/internalmedicine.6445-20
License	https://creativecommons.org/licenses/by-nc-nd/4.0/