Haemorrhage into the pancreatic duct (Hemosuccus pancreaticus): recognition and management.
Détails
ID Serval
serval:BIB_5B35E0C3F448
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Haemorrhage into the pancreatic duct (Hemosuccus pancreaticus): recognition and management.
Périodique
European Journal of Surgery = Acta Chirurgica
ISSN
1102-4151 (Print)
ISSN-L
1102-4151
Statut éditorial
Publié
Date de publication
1995
Peer-reviewed
Oui
Volume
161
Numéro
12
Pages
887-892
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
OBJECTIVE: To highlight the clinical presentation, investigation and treatment of haemorrhage into the pancreatic duct.
DESIGN: Retrospective study and review of publications.
SETTING: University hospital, Switzerland.
SUBJECTS: All 4 cases from 1972 to 1993.
INTERVENTIONS: 2 Whipple procedures, 1 resection of the pancreatic head, 1 exploratory laparotomy. Radiological embolisation in one case.
MAIN OUTCOME MEASURES: Cessation of haemorrhage and survival.
RESULTS: The diagnosis was made preoperatively in three cases by gastroduodenoscopy and arteriography. Operation was the primary treatment in all patients and was effective with low morbidity and no mortality in three of them. Embolisation stopped the haemorrhage in the fourth patient, who was alcoholic and died of progressive liver insufficiency and variceal haemorrhage.
CONCLUSIONS: There is no specific indication for haemorrhage into the pancreatic duct. The diagnosis is suggested by endoscopy (absence of a more common cause, or blood in the second part of the duodenum). Arteriography is essential to confirm the site of the bleeding and to attempt embolization. Operation is usually the definitive treatment.
DESIGN: Retrospective study and review of publications.
SETTING: University hospital, Switzerland.
SUBJECTS: All 4 cases from 1972 to 1993.
INTERVENTIONS: 2 Whipple procedures, 1 resection of the pancreatic head, 1 exploratory laparotomy. Radiological embolisation in one case.
MAIN OUTCOME MEASURES: Cessation of haemorrhage and survival.
RESULTS: The diagnosis was made preoperatively in three cases by gastroduodenoscopy and arteriography. Operation was the primary treatment in all patients and was effective with low morbidity and no mortality in three of them. Embolisation stopped the haemorrhage in the fourth patient, who was alcoholic and died of progressive liver insufficiency and variceal haemorrhage.
CONCLUSIONS: There is no specific indication for haemorrhage into the pancreatic duct. The diagnosis is suggested by endoscopy (absence of a more common cause, or blood in the second part of the duodenum). Arteriography is essential to confirm the site of the bleeding and to attempt embolization. Operation is usually the definitive treatment.
Mots-clé
Adult, Aged, Embolization, Therapeutic, Fatal Outcome, Gastrointestinal Hemorrhage/complications, Gastrointestinal Hemorrhage/diagnosis, Humans, Male, Middle Aged, Pancreatic Ducts, Pancreatitis/complications, Retrospective Studies, Treatment Outcome
Pubmed
Web of science
Création de la notice
18/10/2014 15:51
Dernière modification de la notice
20/08/2019 15:14
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