Duodenal Ulceration Into the Cystic Artery With Massive Hemorrhage
作者:
Takeshi,
Iwamura Ryoji,
Uchino Shinya,
Oshikata Takashi,
Shimozono Etuji,
Kubota Kiyokazu,
期刊:
Journal of Clinical Gastroenterology
(OVID Available online 1999)
卷期:
Volume 28,
issue 2
页码: 171-174
ISSN:0192-0790
年代: 1999
出版商: OVID
关键词: Cystic artery;Duodenal ulcer;Gallbladder;Hemorrhage
数据来源: OVID
摘要:
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.
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