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J Thorac Cardiovasc Surg 2005;130:910
© 2005 The American Association for Thoracic Surgery

Brief Communication

Massive hemoptysis in a patient with chronic pancreatitis

V. Vimalraj, MS a , * , R. Surendran, MCh a , K.S. Sekar, MD b , N. Rajendran, DM c

a Department of Surgical Gastroenterology, Government Stanley Medical College and Hospital, Chennai, India
b Department of Radiology, Apollo Hospital, Chennai, India
c Department of Medical Gastroenterology, Apollo Hospital, Chennai, India.

Received for publication March 1, 2005; accepted for publication March 28, 2005.

* Address for reprints: Velayutham Vimalraj, Department of Surgical Gastroenterology, Government Stanley Medical College, Oldjail Rd, Royapuram, Chennai, Tamilnadu 600001, India (Email: drvimmi@rediffmail.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Vimalraj


Hemoptysis caused by chronic pancreatitis is rare. It could be a result of various causes. Management depends on the cause. Our patient, who had history of chronic calcific pancreatitis, underwent pancreatic stenting and extracorporeal shock wave lithotripsy (ESWL), after which the patient had massive hemoptysis and hematochezia necessitating massive blood transfusion, which was found to be due to a pseudoaneurysm of the splenic artery eroding into the left lung and colon. The patient underwent surgical intervention for correction of the problem.

Clinical Summary

A 43-year-old man was admitted to our hospital in May 2004. He had abdominal pain radiating to the back on and off for 2 years, 4 to 5 episodes per year. This was intractable pain requiring admission and medical treatment in different hospitals.

Abdominal computed tomographic scanning during admission showed multiple stones in the pancreas, with a dilated main pancreatic duct containing multiple stones from head to tail. The patient was advised to undergo surgical intervention. He was not willing to undergo such intervention and was subjected to pancreatic . . . [Full Text of this Article]






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