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Pancreatic cancer presenting with hematemesis from directly invading the duodenum: report of an unusual manifestation and review.
Am Surg. 2006 Apr; 72(4):363-6.AS

Abstract

Pancreatic cancer is a rare cause of gastrointestinal bleeding, and it is extremely rare for hematemesis to be the initial manifestation of invasive pancreatic cancer. We report the case of a 67-year-old man with hematemesis who was found to have invasive pancreatic cancer with a bleeding duodenal ulcer. The patient was not icteric, but repeated sudden hematemesis. An urgent pancreatoduodenectomy was performed with a favorable outcome. Microscopic examination revealed that an adenocarcinoma originating from the pancreatic head extended to the muscularis propria of the duodenum. Furthermore, an exposed vessel and narrow fistula were found. The diagnosis, pathological findings, preoperative events, and postoperative outcome in this unusual case are reviewed.

Authors+Show Affiliations

Department of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

16676866

Citation

Tomita, Hiroyuki, et al. "Pancreatic Cancer Presenting With Hematemesis From Directly Invading the Duodenum: Report of an Unusual Manifestation and Review." The American Surgeon, vol. 72, no. 4, 2006, pp. 363-6.
Tomita H, Osada S, Matsuo M, et al. Pancreatic cancer presenting with hematemesis from directly invading the duodenum: report of an unusual manifestation and review. Am Surg. 2006;72(4):363-6.
Tomita, H., Osada, S., Matsuo, M., & Shimokawa, K. (2006). Pancreatic cancer presenting with hematemesis from directly invading the duodenum: report of an unusual manifestation and review. The American Surgeon, 72(4), 363-6.
Tomita H, et al. Pancreatic Cancer Presenting With Hematemesis From Directly Invading the Duodenum: Report of an Unusual Manifestation and Review. Am Surg. 2006;72(4):363-6. PubMed PMID: 16676866.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pancreatic cancer presenting with hematemesis from directly invading the duodenum: report of an unusual manifestation and review. AU - Tomita,Hiroyuki, AU - Osada,Shinji, AU - Matsuo,Masayuki, AU - Shimokawa,Kuniyasu, PY - 2006/5/9/pubmed PY - 2006/5/31/medline PY - 2006/5/9/entrez SP - 363 EP - 6 JF - The American surgeon JO - Am Surg VL - 72 IS - 4 N2 - Pancreatic cancer is a rare cause of gastrointestinal bleeding, and it is extremely rare for hematemesis to be the initial manifestation of invasive pancreatic cancer. We report the case of a 67-year-old man with hematemesis who was found to have invasive pancreatic cancer with a bleeding duodenal ulcer. The patient was not icteric, but repeated sudden hematemesis. An urgent pancreatoduodenectomy was performed with a favorable outcome. Microscopic examination revealed that an adenocarcinoma originating from the pancreatic head extended to the muscularis propria of the duodenum. Furthermore, an exposed vessel and narrow fistula were found. The diagnosis, pathological findings, preoperative events, and postoperative outcome in this unusual case are reviewed. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/16676866/Pancreatic_cancer_presenting_with_hematemesis_from_directly_invading_the_duodenum:_report_of_an_unusual_manifestation_and_review_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=0003-1348&volume=72&issue=4&spage=363&aulast=Tomita DB - PRIME DP - Unbound Medicine ER -