부산대학교 도서관

A case of intraperitoneal hemorrhage caused by rupture of pancreatic pseudocyst is presented in this report. A 50-year-old male was admitted to our hospital with a chief complaint of upper abdominal pain. Laboratory data on admission revealed anemia. Ultrasonography revealed two cystic masses in the body of the pancreas and the left upper abdomen. Abdominal CT suggested the bleeding into a pancreatic pseudocyst and to peritoneal cavity. To determine the souce of hemorrhage, celiac angiography was performed, but an extravasation of the contrast medium was not shown. The inflow of contrast medium from the pancrearic duct into the cyst was shown on ERCP. The patient was treated conservatively and then, on the 18th day after admission, distal pancreatectomy was performed. The clots were macroscopically confirmed in the pancreatic pseudocyst and peritoneal cavity. Postoperative recovery was uneventful and the patient is well 2ldays after surgery.