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Acute pancreatitis associated with massive bleeding due to a duodenal ulcer

  • Daisuke UchidaEmail author
  • Yoshinari Kawai
  • Hironari Kato
  • Hiroyuki Okada
Case Report
  • 16 Downloads

Abstract

A 74-year-old man presented to the emergency department with acute abdominal pain in addition to anemia and melena, which were suspected to be due to gastrointestinal bleeding. Computed tomography (CT) revealed a blood-filled duodenum and acute pancreatitis. We prioritized treatments for pancreatitis, as the vital signs were stable, and temporary hemostasis was achieved. Two days later, esophagogastroduodenoscopy revealed a duodenal ulcer with an exposed vessel, and endoscopic hemostasis was performed. We urge clinicians to consider the possibility of pancreatitis associated with massive bleeding due to a duodenal ulcer.

Keywords

Pancreatitis Duodenal ulcer Gastrointestinal bleeding 

Abbreviations

WBC

White blood cell

RBC

Red blood cell

Ht

Hematocrit

Hb

Hemoglobin

Plt

Platelet

TP

Total protein

Alb

Albumin

T-Bil

Total bilirubin

D-Bil

Direct bilirubin

AST

Aspartate transaminase

ALT

Alanine transaminase

ALP

Alkaline phosphatase

γGTP

Gamma guanosine triphosphate

Amy

Amylase

ChE

Cholinesterase

LDH

Lactate dehydrogenase

Cr

Creatinine

BUN

Blood urea nitrogen

Na

Sodium

K

Potassium

Cl

Chlorine

Ca

Calcium

BE

Base excess

CRP

C-reactive protein

PT

Prothrombin time

PT-INR

Prothrombin time-international normalized ratio

Notes

Compliance with ethical standards

Conflict of interest

The authors declare no conflicts of interest or financial relationships relevant to this article.

Human/animal rights

All procedures were carefully conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and in line with the Helsinki Declaration.

Informed consent

Informed consent was obtained from the patient for being included in the study.

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Copyright information

© Japanese Society of Gastroenterology 2019

Authors and Affiliations

  1. 1.Department of GastroenterologyOkayama University HospitalOkayamaJapan
  2. 2.Department of GastroenterologyOnomichi Municipal HospitalHiroshimaJapan

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