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1 Resident in Radiology, UCLA Center for the Health Sciences
2 Assistant Professor, UCLA Center forthe Health Sciences
Serious gastrointestinal bleeding is common in patients with chronic pancreatitis and pancreatic pseudocysts. In many instances, the bleeding is the result of other conditions in the gastrointestinal tract such as peptic ulcer disease. However, pancreatic pseudocysts may produce serious gastrointestinal hemorrhage by erosion of adjacent blood vessels. Two cases in which such lesions were associated with bruits were studied angiographically. In each of these cases, an erosive change of the splenic artery was demonstrated.
Selective celiac angiography is a safe and simple procedure which may provide the surgeon with valuable information in the management of these difficult cases.
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