<Cases Reports> Gastrointestinal bleeding as the initial manifestation of pancreatic adenocarcinoma successfully treated by emergency pancreaticoduodenectomy : case report

• Kamei, Keiko

• Yasuda, Takeo

• Nakata, Yasuyuki

• Yamazaki, Mitsuo

• Ishikawa, Hajime

• Nakai, Takuya

• Takeyama, Yoshifumi

抄録

[Abstract] Pancreatic adenocarcinoma is a rare cause of gastrointestinal bleeding, and it is extremely rare that the initial symptom of pancreaticadenocarcinoma is hematochezia, melena, or hematemesis. Moreover, there have been a few reports of successful treatment by emergencypancreaticoduodenectomy to control bleeding in such cases. We report the case of a 55-year-old man with melena who was found to have pancreaticadenocarcinoma directly invading the duodenum by histopathological examination. In this case, preoperative diagnosis of pancreatic adenocarcinoma was difficult. The endoscopic hemostatic procedure failed and emergency pancreaticoduodenectomy was performed successfully to stop bleeding. His postoperative course was uneventful, but he died 8 months after the operation of recurrence of pancreatic adenocarcinoma. The clinical course of this unusual case is reviewed.

Departmental Bulletin Paper

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収録刊行物

• ACTA MEDICA KINKI UNIVERSITY

  ACTA MEDICA KINKI UNIVERSITY 37 (2), 95-97, 2012-12-01

  Kinki University Medical Association

キーワード

• gastrointestinal bleeding
• pancreatic adenocarcinoma
• pancreaticoduodenectomy
• emergency operation

詳細情報

• CRID: 1050001202551136128
• NII論文ID: 120005736846
• ISSN: 03866092
• Web Site: https://kindai.repo.nii.ac.jp/records/10589
• Web Site: https://search.jamas.or.jp/link/ui/2013228811
• 本文言語コード: en
• 資料種別: departmental bulletin paper
• データソース種別:
  • IRDB
  • CiNii Articles