Hémorragie par le canal de Wirsung: forme rare d'hémorragie digestive haute. A propos d'une observation [Hemorrhage through Wirsung's duct: rare form of upper gastrointestinal hemorrhage. A case report].

Details

Serval ID
serval:BIB_11188E6D77CD
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Hémorragie par le canal de Wirsung: forme rare d'hémorragie digestive haute. A propos d'une observation [Hemorrhage through Wirsung's duct: rare form of upper gastrointestinal hemorrhage. A case report].
Journal
Helvetica Chirurgica Acta
Author(s)
Suter M.
ISSN
0018-0181 (Print)
ISSN-L
0018-0181
Publication state
Published
Issued date
1993
Peer-reviewed
Oui
Volume
60
Number
1-2
Pages
91-95
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article Publication Status: ppublish
Abstract
The case of a 41-year-old alcoholic patient who presented with massive upper gastrointestinal bleeding is reported. The diagnosis was established rapidly by endoscopy which revealed bleeding through the papilla of Vater. Selective angiography of the superior mesenteric artery opacified the pancreatic duct as well as the duodenum. CT scan showed signs of chronic pancreatitis. Because of the recurrence of bleeding and shock, an urgent operation was necessary and a Whipple procedure was performed. Recovery was complete. The clinical presentation, the etiology, the diagnostic modalities and the treatment of this particular condition are discussed. Usually, hemorrhage through the pancreatic duct presents as repeated episodes of upper gastrointestinal bleeding with no source found at endoscopy. The presence of chronic pancreatitis or of epigastric pain during bleeding should suggest the diagnosis. Upper gastrointestinal endoscopy and angiography are the principal diagnostic tools. Definitive treatment requires surgery, and resection in most of the cases.
Keywords
Adult, Alcoholism/complications, Alcoholism/surgery, Chronic Disease, Gastrointestinal Hemorrhage/etiology, Gastrointestinal Hemorrhage/surgery, Humans, Male, Pancreatic Ducts/surgery, Pancreaticoduodenectomy, Pancreatitis/complications, Pancreatitis/surgery
Pubmed
Web of science
Create date
18/10/2014 14:48
Last modification date
20/08/2019 12:38
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