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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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