Hemorrhage from splenic artery to pancreatic cyst with a coexisting fistula to colon (A reason for reccurent bleeding to the lower gastrointestinal tract)

Abstract

We presented the case of a 47-year-old patient with acute pancreatitis in anamnesis, treated and diagnosed over several months because of recurrent bleeding in the lower part of the gastrointestinal tract. The patient was admitted to the General and Vascular Surgery Department of the Regional Medical Centre in Opole after significant bleeding to the gastrointestinal tract. USG and CT were done; a pancreatic cyst was diagnosed. In visceral arteriography a rupture of the spleen artery was diagnosed. The patient was operated on. During the operation, bleeding was found from the spleen artery to the pancreatic cyst with the coexisting fistula to the colon. The spleen artery was acupressured, the pancreatic cyst was drained and the wall of the colon was sutured. Postoperative recovery was uneventful.