김영수, 신용운, 정석, 박기수, 장동섭, 조영업, 김선후, 인현호, 김인한, 장재남, 문태훈 (Young Soo Kim, Yong Woon Shin, Seok Jeong, Gi Soo Park, Dong Seob Jang, Young Up Cho, Sun Hoo Kim, Hyun Ho In, In Han Kim, Jae Nam Chang and Tai Hoon Mon)
Abstract
Hemorrhage into a pancreatic pseudocyst is a rare, but increasingly recognized as a cause of massive gastrointestial bleeding. Bleeding pseudocysts may rupture into the stomach, duodenum, common bile duct, and splenic vein, or can be decompressed via the duct of Wirsung. Also it will result in upper gastrointestinal bleeding. This represents a life-threatening and frequently unrecognized complication of pancreatic disease. Proper diagnostic workup and prompt surgical management afford the patient the best chance for survival . We report a patient with pseudocyst bleeding into the gastrointestinal tract via the duct of Wirsung and discuss the current diagnostic and therapeutic approach. (Kor J Gastrointest Endosc 15: 803-807, 1995)