Acute pancreatitis associated with massive bleeding due to a duodenal ulcer
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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.
KeywordsPancreatitis Duodenal ulcer Gastrointestinal bleeding
White blood cell
Red blood cell
Gamma guanosine triphosphate
Blood urea nitrogen
Prothrombin time-international normalized ratio
Compliance with ethical standards
Conflict of interest
The authors declare no conflicts of interest or financial relationships relevant to this article.
All procedures were carefully conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and in line with the Helsinki Declaration.
Informed consent was obtained from the patient for being included in the study.
- 3.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.Google Scholar
- 8.Romcea AA, Tantau M, Seicean A, et al. The etiology of upper gastrointestinal bleeding in cirrhotic patients. Clujul Med. 2013;86:21–3.Google Scholar
- 9.Hashizume M, Tanoue K, Ohta M, et al. Vascular anatomy of duodenal varices: angiographic and histopathological assessments. Am J Gastroenterol. 1993;88:1942–5.Google Scholar
- 10.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.Google Scholar
- 16.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.Google Scholar