Abstract
65 year old male, a chronic smoker and alcoholic and a diagnosed case of chronic calcific pancreatitis since 2014, presented with recurrent abdominal pain, loss of weight and loss of appetite. CT SCAN of abdomen showed 3.4 x 3.6 cm mass in the head of pancreaas with biliary and pancreatic ductal dilation. It also showed calcification of pancreatic parenchyma. EUS guided FNA was suggestive of neuroendocrine tumor of pancreas. Prominant collaterals were seen adjacent to the mass. He presented a week later with massive upper GI bleed from the 2nd part of duodenum. Initial endoscopic hemostasis was achieved with hemoclips. However, as he rebled within 48hrs, EUS was done which showed active bleeding from the collateral seen near the mass. EUS guided coil (4 mm size, Three in number) were placed into the collateral. Complete thrombosis of the collateral was noted. Hemostasis was achieved. Patient remained stable and was discharged after 3 days.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
