Gastroenterologie
a hepatologie

Acute upper gastrointestinal bleeding – a rare manifestation of pancreatic adenocarcinoma

Andrej Orságh ^{Orcid.org  1}, Mária Ondrejkovičová ^{Orcid.org  1}, Marián Bátovský ^{Orcid.org  2}, Rudolf Hrčka ^{Orcid.org  3}, Zuzana Lišková ^{Orcid.org  4}

+ Affiliation
¹ Gastroenterologická klinika SZU a UNB, Nemocnica sv. Cyrila a Metoda, Bratislava
² Gastroenterologická klinika SZU a UN Bratislava, Slovenská republika
³ Gastroenterologická klinika SZU a UN Bratislava
⁴ Rádiológia s.r.o., Nemocnica sv. Cyrila a Metoda, Bratislava

Summary

The case study presents a patient suffering from a pancreatic adenocarcinoma infiltrating the duodenum at part D3, initially manifested by acute upper gastrointestinal bleeding. The bleeding was haemodynamically severe, recurrent and ultimately fatal. Pancreatic cancer is rarely manifested by acute gastrointestinal bleeding. It is mostly due to the direct invasion of GIT, usually in the duodenum. In general, tumours are the cause of bleeding in the upper GI tract in only about 2.9% of all cases. Endoscopic treatment of tumour-induced GI bleeding is often complicated and inadequate. In those cases, the methods of interventional radiology and surgery could be applied.

Keywords

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