A 44-year-old
alcoholic man with a history of multiple episodes of acute pancreatitis was
transferred to our hospital with complaints of intense mid-epigastric
pain and hematemesis for 3 h.
He was diagnosed
as pancreatic pseudocyst by abdominal CT examination (Figure 1a and 1b) 6
months ago. The abdomen was markedly tender, and an impulsatile mass measuring
10 cm × 15 cm was palpable.
Emergent
abdominal CT revealed giant hyper-attenuation cyst communicating with duodenum,
suggestive of blood presence. Large amount of blood was also noted in stomach,
duodenum and small bowel.
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