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

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 compute...

Descripción completa

Detalles Bibliográficos
Autores principales: Obata, Taisuke, Matsumoto, Kazuyuki, Kato, Hironari, Yamazaki, Tatsuhiro, Fujii, Yuki, Tomoda, Takeshi, Horiguchi, Shigeru, Okada, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313918/
https://www.ncbi.nlm.nih.gov/pubmed/33551406
http://dx.doi.org/10.2169/internalmedicine.6445-20
_version_ 1783729444889821184
author Obata, Taisuke
Matsumoto, Kazuyuki
Kato, Hironari
Yamazaki, Tatsuhiro
Fujii, Yuki
Tomoda, Takeshi
Horiguchi, Shigeru
Okada, Hiroyuki
author_facet Obata, Taisuke
Matsumoto, Kazuyuki
Kato, Hironari
Yamazaki, Tatsuhiro
Fujii, Yuki
Tomoda, Takeshi
Horiguchi, Shigeru
Okada, Hiroyuki
author_sort Obata, Taisuke
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8313918
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-83139182021-08-11 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-02-08 2021-07-01 /pmc/articles/PMC8313918/ /pubmed/33551406 http://dx.doi.org/10.2169/internalmedicine.6445-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Obata, Taisuke
Matsumoto, Kazuyuki
Kato, Hironari
Yamazaki, Tatsuhiro
Fujii, Yuki
Tomoda, Takeshi
Horiguchi, Shigeru
Okada, Hiroyuki
Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm
title Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm
title_full Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm
title_fullStr Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm
title_full_unstemmed Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm
title_short Hemosuccus Pancreaticus Due to the Rupture of a Pseudoaneurysm That Developed in an Intraductal Papillary Mucinous Neoplasm
title_sort hemosuccus pancreaticus due to the rupture of a pseudoaneurysm that developed in an intraductal papillary mucinous neoplasm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313918/
https://www.ncbi.nlm.nih.gov/pubmed/33551406
http://dx.doi.org/10.2169/internalmedicine.6445-20
work_keys_str_mv AT obatataisuke hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT matsumotokazuyuki hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT katohironari hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT yamazakitatsuhiro hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT fujiiyuki hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT tomodatakeshi hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT horiguchishigeru hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm
AT okadahiroyuki hemosuccuspancreaticusduetotheruptureofapseudoaneurysmthatdevelopedinanintraductalpapillarymucinousneoplasm

Ejemplares similares