scholarly journals Spontaneous rupture of the pancreatic pseudocyst into the duodenum with massive upper gastrointestinal bleeding: case report and literature review

2020 ◽  
Vol 7 (11) ◽  
pp. 3792
Author(s):  
Alaa Sedik ◽  
Meriem Touheria ◽  
Ahmed Fathi ◽  
Uzair Ilyas ◽  
Ahmed Wahdan ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Pancreatic Pseudocyst ◽  
Bile Leak ◽  
Recurrent Bleeding ◽  
Upper Gi ◽  
Life Threatening ◽  
Upper Gi Endoscopy ◽  
The Common ◽  
Life Threatening Complication ◽  
Acute And Chronic Pancreatitis

Pancreatic pseudocyst is one of the common complications of both acute and chronic pancreatitis. While most pseudocysts resolve spontaneously with conservative treatment, larger pseudocysts are more likely to cause complications, such as, spontaneous rupture into the gastrointestinal tract and are usually associated with life-threatening bleeding, which is life threatening complication. Endoscopic or surgical drainage may be necessary for uncomplicated persistent large cysts. We present a case of 32 year old Indian male, admitted to our department, who was a known case of alcoholic acute pancreatitis treated conservatively and developed massive upper GI bleeding and shock. CT angiography and upper GI endoscopy failed so he was taken to theatre several time due to bleeding, recurrent bleeding and a major bile leak. Unfortunately, he was expired. Current study highlights this serious rare life-threatening complication.

scholarly journals Spontaneous pancreatic pseudocyst–portal vein fistula: a rare and potentially life threatening complication of pancreatitis

2013 ◽  
Vol 95 (1) ◽  
pp. e7-e9 ◽  
Author(s):  
SS Raza ◽  
A Hakeem ◽  
M Sheridan ◽  
N Ahmad
Keyword(s):  
Chronic Pancreatitis ◽  
Portal Vein ◽  
Pancreatic Pseudocyst ◽  
Conservative Approach ◽  
Fatal Complication ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Acute And Chronic Pancreatitis ◽  
Pseudocyst Formation

Pseudocyst formation following acute and chronic pancreatitis is a well known complication. A pancreatic pseudocyst fistulating into the portal vein is a rare and potentially fatal complication. We report a case of pancreatic pseudocyst – portal vein fistula, which was managed with a conservative approach.

scholarly journals Incidence of Spontaneous Pulmonary AVM Rupture in HHT Patients

2021 ◽  
Vol 10 (20) ◽  
pp. 4714
Author(s):  
Adam Fish ◽  
Katharine Henderson ◽  
Alex Moushey ◽  
Jeffrey Pollak ◽  
Todd Schlachter
Keyword(s):  
Spontaneous Rupture ◽  
Pulmonary Hemorrhage ◽  
Initial Presentation ◽  
Lifetime Prevalence ◽  
True Incidence ◽  
Life Threatening ◽  
Life Threatening Complication

The spontaneous rupture of pulmonary AVMs, resulting in pulmonary hemorrhage and hydrothorax, is a life-threatening complication. While this phenomenon has been previously reported, the true incidence is not yet known. This study retrospectively reviewed records of 801 HHT patients with pulmonary AVMs to identify a single lifetime episode of hemothorax or pulmonary hemorrhage secondary to pulmonary AVM rupture. The lifetime prevalence and incidence of pulmonary AVM rupture in HHT patients was 2.7% and 0.16% respectively. In these patients, AVM rupture represented the initial presentation of HHT in nine (40.9%) cases and was life-threatening in nine (40.9%) cases. All cases occurred in virgin lesions, and subsequent embolization was curative. While a feared complication, pulmonary AVM rupture is rare and is likely effectively prevented by existing embolization techniques and indications.

scholarly journals Unusual Case of Life-Threatening Gastro Intestinal Bleed from a Splenic Artery Pseudoaneurysm: Case Report and Review of Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Puneet Menaria ◽  
Venkata Muddana
Keyword(s):  
Splenic Artery ◽  
Pancreatic Pseudocyst ◽  
Biliary Tree ◽  
Gi Bleeding ◽  
Splenic Artery Embolization ◽  
Artery Pseudoaneurysm ◽  
Upper Gi Bleeding ◽  
Upper Gi ◽  
Life Threatening ◽  
Splenic Artery Pseudoaneurysm

Large upper gastro intestinal (GI) bleeding can be life-threatening. Splenic artery pseudoaenurysm (SAP) is rare but can cause massive upper GI bleeding. We report a case of a 57-year-old woman who had massive upper GI bleeding from SAP eroding into distal duodenum. Literature review shows SAP can bleed into stomach or pancreatic pseudocyst or biliary tree and peritoneal cavity; however, there are no previous reported cases of SAP bleeding into distal duodenum. Splenic artery embolization (SAE) is the preferred treatment for a bleeding SAP. Splenic infarcts can result following a SAE.

scholarly journals Frequency of Celiac Disease in Patients With Increased Intestinal Gas (Flatulence)

2015 ◽  
Vol 8 (6) ◽  
pp. 147 ◽  
Author(s):  
Mohsen Masoodi ◽  
Marjan Mokhtare ◽  
Shahram Agah ◽  
Mohammad Sina ◽  
Mojtaba Soltani-Kermanshahi
Keyword(s):  
Celiac Disease ◽  
Teaching Hospital ◽  
Social Performance ◽  
Chief Complaint ◽  
Intestinal Lymphoma ◽  
Serological Tests ◽  
Upper Gi ◽  
Intestinal Gas ◽  
Upper Gi Endoscopy ◽  
The Common

<p>Excessive flatulence which impairs social performance in patients is one of the common reasons for referrals to gastroenterology clinics. Celiac Disease is a rare but important cause of increased intestinal gas (bloating) and if not diagnosed, patients face complications such as malabsorption, anemia, osteoporosis and even intestinal lymphoma. This study aimed to determine the frequency of Celiac Disease in patients with excessive flatulence.One hundred and fifty patients with a chief complaint of experiencing flatulence more than 15 times a day and lasting for three months were referred to the gastroenterology clinic of Rasoul-e-Akram Teaching Hospital. Serological tests for Celiac Disease, Anti TTG Ab (IgA-IgG) were requested and the patients with positive tests underwent upper GI endoscopy. Biopsies of the second part of the duodenum were then sent to the laboratory.From one hundred and thirty patients who completed the study, 92 (70.7%) were female. Mean age of the patients was 32 ± 13 years. Anti TTG Ab was found in 5 patients (3.85%). Only 2 patients (1.5%) had a documented positive pathology for Celiac Disease.According to the results of this study and other studies, we conclude that Celiac Disease is an uncommon etiology for excessive flatulence but it is of importance to investigate it in excessive flatulence patients.</p>

scholarly journals Drug-Induced Methemoglobinemia: a Case Report and Review of Literature

2014 ◽  
Vol 2 (5) ◽  
pp. 34 ◽  
Author(s):  
Ahmed Zedan ◽  
Sabry Omar ◽  
Mahmoud Fenire
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Blood Levels ◽  
Review Of Literature ◽  
Drug Induced ◽  
Upper Gi ◽  
Life Threatening ◽  
Upper Gi Endoscopy ◽  
Life Threatening Event

Drugs, including those used during diagnostic procedures, can have adverse effects and potentially serious side-effects, especially in complicated patients with significant comorbidity. Benzocaine is frequently used as an oropharyngeal anesthetic agent during bronchoscopy, transesophageal echocardiography, and upper GI endoscopy and can cause methemoglobinemia, a potentially life-threatening event if not diagnosed and treated quickly. Co-oximetry is the gold standard for the diagnosis of methemoglobinemia and can quantitate blood levels, which in turn correlate with the clinical presentation and the urgency for treatment. Methylene blue is the treatment of choice for methemoglobinemia. In this case report we discuss the pathophysiology, the clinical presentation, the diagnosis, and the treatment of benzocaine-induced methemoglobinemia.

scholarly journals Haemoperitoneum Due to Spontaneous Rupture of a Liver Metastasis

2019 ◽  
Author(s):  
Christodoulos Dolapsakis ◽  
Polina Pavli ◽  
Andreas Panagopoulos ◽  
Ekaterini Tavernaraki ◽  
Georgios Varnavas ◽  
...  
Keyword(s):  
Liver Disease ◽  
Liver Metastasis ◽  
Spontaneous Rupture ◽  
Transarterial Embolization ◽  
Performance Status ◽  
Unknown Origin ◽  
Therapeutic Decisions ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Metastatic Liver

Spontaneous rupture of a liver metastasis is a life-threatening complication of metastatic liver disease. Although metastatic liver lesions are much more common than primary tumours, spontaneous rupture of a liver metastasis is rare. Therapeutic decisions must take into account the extent of metastatic liver disease and the patient’s performance status. Transarterial embolization may be considered in cases of ongoing haemorrhage despite initial conservative measures. We describe a case of haemoperitoneum due to spontaneous rupture of a liver metastasis in a 72-year-old patient with carcinoma of unknown origin who responded well to conservative management.

scholarly journals Spontaneous Rupture of the Spleen Associated withLegionellaPneumonia

2010 ◽  
Vol 21 (3) ◽  
pp. e107-e108 ◽  
Author(s):  
Manuel Casanova-Roman ◽  
Javier Casas ◽  
Antonio Sanchez-Porto ◽  
Belen Nacle
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rupture Of The Spleen

Spontaneous rupture of the spleen associated withLegionellapneumonia is a rare and life-threatening complication; only three cases have been reported to date. The authors describe a case of a 47-year-old man who presented with pneumonia and abdominal pain. He underwent a splenectomy, and was successfully treated with clarithromycin and levofloxacin.

scholarly journals Spontaneous rupture of incisional hernia: a rare cause of a life-threatening complication

2011 ◽  
Vol 2011 (mar02 1) ◽  
pp. bcr1120103486-bcr1120103486 ◽  
Author(s):  
R. K. Gupta ◽  
S. S ◽  
A. S C
Keyword(s):  
Incisional Hernia ◽  
Spontaneous Rupture ◽  
Life Threatening ◽  
Life Threatening Complication
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