Bleeding from major and minor duodenal papillae due to hemos
A 46-year-old man was admitted to our hospital following
hematemesis. Emergency direct-viewing gastroduodenoscopy revealed fresh bleeding from the major duodenal papilla. Further examination of both papillae by sideviewing ndoscopy confirmed fresh bleeding from both
the major and minor papillae (Fig. 1). Ultrasound and
computed tomography (CT) revealed a 20 mm×18 mm cystic
mass in the body of the pancreas. The mass also demonstrated features consistent with chronic pancreatitis. Contrast – enhanced CT showed that splenic artery pseudoaneurysm was communicating with the pseudocyst....