Kaohsiung Journal of Medical Sciences
Volume 25, Issue 1 , Pages 45-48, January 2009

Gastric Subserosal Hematoma Developing from Focal Pancreatitis: A Case Report

  • Chen-Te Chou

      Affiliations

    • Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Chang-Jung Christian University, Taiwan
    • Department of Radiology, Changhua Christian Hospital, Er-Lin Branch, Chang-Jung Christian University, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Chen-Te Chou, Department of Radiology, Changhua Christian Hospital, 135 Nanshiao Street, Changhua, Taiwan
    • ,
  • Ran-Chou Chen

      Affiliations

    • Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Chang-Jung Christian University, Taiwan
    • Department of Radiology, Taipei City Hospital Renai Branch, Chang-Jung Christian University, Taiwan
    • ,
  • Albert D. Yang

      Affiliations

    • Department of Radiology, Changhua Christian Hospital, Er-Lin Branch, Chang-Jung Christian University, Taiwan
    • Department of Respiratory Care, Chang-Jung Christian University, Taiwan

Received 2 May 2008; accepted 30 July 2008.

Pancreatitis complicated by gastric wall hemorrhagic is rarely reported. The imaging findings of focal pancreatitis with gastric wall hemorrhage can mimic a disease entity of gastric origin. We report a case of gastric subserosal hematoma developing in a patient with focal pancreatitis. The patient was initially scheduled to receive subtotal gastrectomy due to a presumed diagnosis of a disease entity of gastric origin. Computed tomography of the abdomen revealed focal pancreatitis that had eroded the gastric wall resulting in subserosal hemorrhage. The radiologist informed the surgeon of the possibility of focal pancreatitis complicated by gastric hemorrhage. The gastric subserosal hematoma was treated with percutaneous drainage and the patient recovered uneventfully.

Key Words:  computed tomography , endoscopic ultrasonography , focal pancreatitis , gastric subserosal hematoma

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PII: S1607-551X(09)70040-3

doi:10.1016/S1607-551X(09)70040-3

Kaohsiung Journal of Medical Sciences
Volume 25, Issue 1 , Pages 45-48, January 2009

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