Combined Laparoscopic/Endoscopic Control of Hemorrhage from a Pancreatic Pseudocyst

Christian A Adkisson, BS1, Lucas Ferrer, MD2, Jennifer Maranki, MD3, Tatyan Clarke, MD4, Michael A Edwards, MD4, Rohit Soans, MD4. 1Temple University School of Medicine, 2Department of Surgery, Temple University Hospital, Philadelphia, PA, 3Department of Medicine, Section of Gastroenterology, Temple University Hospital, Philadelphia, PA, 4Division of General and Minimally Invasive Surgery, Section of Metabolic and Bariatric Surgery, Temple University Hospital, Philadelphia, PA

We present a case of bleeding from a pancreatic pseudocyst that necessitated surgical intervention after failure of medical measures. A combined laparoscopic and endoscopic approach was employed to allow complete evaluation of the anatomy for the source of bleeding. Laparoscopic packing of the pseudocyst was used to control the hemorrhage, and the patient made an excellent recovery.

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