{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:53:23Z","timestamp":1747191203371,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2023,1,12]]},"abstract":"<jats:p>We describe a case of an uncommon early pancreatic cancer presentation in a patient in his 60s who had haemorrhagic shock from extensive haematochezia and required blood transfusions as well as surveillance in an intensive care unit. A splenic artery pseudoaneurysm that had been effectively embolized by angiography was seen to be actively bleeding into the colon lumen on a computerized tomography (CT) scan along with a necrotic mass of the pancreatic tail. A pancreatic mucinous adenocarcinoma was diagnosed by a transgastric biopsy. A pancreatico-colic fistula was discovered by CT scan after a colic contrast enema. A transabdominal drainage of the necrotic collection and targeted antibiotic treatment had been performed with a satisfying patient outcome. In order to assess a potential secondary surgical resection, systemic chemotherapy was planned. In conclusion, haematochezia with hemodynamic instability originated from a splenic artery pseudoaneurysm fistulising into the colon (arterio-colic fistula) and sepsis originating from a tumoral pancreatic abscess fistulising into the colon (tumoral pancreatico-colic fistula).<\/jats:p>","DOI":"10.1155\/2023\/7443508","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T02:05:14Z","timestamp":1673575514000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Massive Haematochezia due to Splenic Artery Bleeding into the Colon: Unusual Manifestation of Advanced Pancreatic Cancer"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0410-9583","authenticated-orcid":true,"given":"R.","family":"Sguinzi","sequence":"first","affiliation":[{"name":"Department of General Surgery, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5266-5958","authenticated-orcid":true,"given":"F.","family":"Pugin","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6245-7127","authenticated-orcid":true,"given":"C.","family":"Bader","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2853-3223","authenticated-orcid":true,"given":"A.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8555-6283","authenticated-orcid":true,"given":"L.","family":"Buhler","sequence":"additional","affiliation":[{"name":"Faculty of Science and Medicine, Section of Medicine, University of Fribourg, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3630-8897","authenticated-orcid":true,"given":"L.","family":"Widmer","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3721-0741","authenticated-orcid":true,"given":"D.","family":"Staudenmann","sequence":"additional","affiliation":[{"name":"Praxis Intesto, Department of Gastroenterology, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2099-3367","authenticated-orcid":true,"given":"B.","family":"Egger","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Fribourg Cantonal Hospital, Fribourg 1700, Switzerland"},{"name":"Faculty of Science and Medicine, Section of Medicine, University of Fribourg, Fribourg 1700, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30974-0"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.13027"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000000527"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i43.4846"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2017.11.011"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181cf9171"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/s0741-5214(03)00710-9"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1159\/000123607"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.09.032"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2017.11.011"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.gcb.2007.12.003"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.14740\/gr607w"},{"issue":"12","key":"14","first-page":"665","article-title":"H\u00e9morragies rectales de grande abondance par fistulisation colique d\u2019une l\u00e9sion de pancr\u00e9atite [Massive rectal hemorrhage by colonicfistulization of a pancreatitislesion]","volume":"122","author":"P. 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