{"corpus_id":183746649,"paper_sha":"b382822577bbe842d73d9a0bfff6faa2b139fa10","doi":"10.5833/JJGS.43.1246","arxiv_id":null,"pmid":null,"pmcid":null,"mag_id":2330098878,"dblp_id":null,"acl_id":null,"title":"Two Cases of Hemosuccus Pancreaticus","year":2010,"publication_date":null,"venue":"","journal":{"name":"The Japanese Journal of Gastroenterological Surgery","pages":"1246-1251","volume":"43"},"journal_issn":null,"journal_title":null,"publication_types":[],"pubmed_pub_types":null,"s2_fields_of_study":["Biology","Medicine"],"reference_count":18,"citation_count":2,"influential_citation_count":0,"is_open_access":true,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":null,"chemicals":null,"comments_corrections":null,"source_flags":1,"s2_open_access_pdf_url":"https://www.jstage.jst.go.jp/article/jjgs/43/12/43_43.1246/_pdf","s2_open_access_landing_url":"https://www.semanticscholar.org/paper/b382822577bbe842d73d9a0bfff6faa2b139fa10","s2_open_access_license":"CCBYNC","s2_open_access_status":"HYBRID","pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"Hemosuccus pancreaticus（以下，HP）は膵管を通りVater乳頭から出血を来すまれな疾患である．今回，我々は異なる原因により発症したhemosuccus pancreaticusの2例を経験した．症例1は77歳の男性で，繰り返す吐血より，腹部CTにて脾動脈瘤を認めたことより手術を施行したところ，主膵管との交通をもつ動脈硬化性の脾動脈瘤を認めた．症例2は58歳の男性で，腹痛を主訴に施行した上部消化管内視鏡検査にて，Vater乳頭からの出血を認め，また腹部MRIにて膵尾部に腫瘤を認め，嚢胞内出血と診断し手術を施行した．嚢胞壁は異型を認める円柱上皮に覆われており，膵管との交通を認め，また卵巣様間質を認めないことよりintraductal papillary mucinous neoplasmと診断した．原因不明の上部消化管出血には，HPを鑑別疾患に入れた診療が必要である．","claims":[{"public_id":"cl_2968ed847110cf704e99851b4b1b1255","status":"active","text":"An arteriosclerotic splenic artery aneurysm communicating with the main pancreatic duct, identified by abdominal CT, was the cause of recurrent hematemesis in a 77-year-old man and was confirmed surgically.","confidence":0.9,"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/claims/cl_2968ed847110cf704e99851b4b1b1255"},{"public_id":"cl_af1c84325de8241f4e688f404fe3296a","status":"active","text":"Atypical columnar epithelium lining the cyst wall, communication with the pancreatic duct, and absence of ovarian-like stroma supported a diagnosis of intraductal papillary mucinous neoplasm in the second case.","confidence":0.85,"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/claims/cl_af1c84325de8241f4e688f404fe3296a"},{"public_id":"cl_f1c56076d4746ab905b9c559b905bf44","status":"active","text":"Hemosuccus pancreaticus should be considered in the differential diagnosis of unexplained upper gastrointestinal bleeding.","confidence":0.9,"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/claims/cl_f1c56076d4746ab905b9c559b905bf44"},{"public_id":"cl_a439c84c6034cd6309e4dcc2ee2a3425","status":"active","text":"Upper gastrointestinal endoscopy showed bleeding from the ampulla of Vater and abdominal MRI revealed a pancreatic tail mass, leading to a diagnosis of intracystic hemorrhage in a 58-year-old man.","confidence":0.88,"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/claims/cl_a439c84c6034cd6309e4dcc2ee2a3425"}],"concepts":[{"public_id":"co_019e3a9f122aba7119cfee353c0fe9ac","status":"active","name":"abdominal MRI","description":"Magnetic resonance imaging of the abdomen used to characterize soft-tissue masses and lesions.","types":["imaging technique"],"aliases":["abdominal magnetic resonance imaging"],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_019e3a9f122aba7119cfee353c0fe9ac"},{"public_id":"co_0dca293789aff40a839d34c5840cb2e1","status":"active","name":"abdominal CT","description":"Computed tomography imaging of the abdomen used to visualize abdominal organs and vascular structures.","types":["imaging technique"],"aliases":["abdominal computed tomography"],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_0dca293789aff40a839d34c5840cb2e1"},{"public_id":"co_1ef146c26031f1ca7706f1d146746a4d","status":"active","name":"ovarian-like stroma","description":"A dense, spindle-cell stromal pattern resembling ovarian tissue that is characteristic of mucinous cystic neoplasms of the pancreas.","types":["histological feature"],"aliases":[],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_1ef146c26031f1ca7706f1d146746a4d"},{"public_id":"co_26bba634b730fd6cbe0c689937165f40","status":"active","name":"intracystic hemorrhage","description":"Bleeding occurring within a cystic lesion.","types":["condition"],"aliases":[],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_26bba634b730fd6cbe0c689937165f40"},{"public_id":"co_3d5514af0f6f0c161ce69e11043043dd","status":"active","name":"main pancreatic duct","description":"The principal duct that drains exocrine pancreatic secretions into the duodenum.","types":["anatomical structure"],"aliases":[],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_3d5514af0f6f0c161ce69e11043043dd"},{"public_id":"co_5f87dab18f0c4629313e5ec16a923f0d","status":"active","name":"intraductal papillary mucinous neoplasm","description":"A mucin-producing pancreatic tumor arising from the epithelium of the pancreatic ducts.","types":["neoplasm"],"aliases":["IPMN"],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_5f87dab18f0c4629313e5ec16a923f0d"},{"public_id":"co_bd149a93bff5a968da2ac03b695f0e3b","status":"active","name":"ampulla of Vater","description":"The anatomical structure where the common bile duct and pancreatic duct join and empty into the duodenum.","types":["anatomical structure"],"aliases":["papilla of Vater","Vater's papilla"],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_bd149a93bff5a968da2ac03b695f0e3b"},{"public_id":"co_ce4a20413628dd65d7ce728a8c17ba97","status":"active","name":"hemosuccus pancreaticus","description":"A rare condition in which bleeding from the pancreatic duct system exits into the duodenum through the ampulla of Vater.","types":["condition"],"aliases":["HP"],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_ce4a20413628dd65d7ce728a8c17ba97"},{"public_id":"co_e173f5a15fd2c97b2c474bc44d7b8465","status":"active","name":"splenic artery aneurysm","description":"An abnormal, localized dilation of the splenic artery, commonly caused by arteriosclerosis.","types":["condition"],"aliases":[],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_e173f5a15fd2c97b2c474bc44d7b8465"},{"public_id":"co_e19e359994c1b8c5b2c24ed650502553","status":"active","name":"upper gastrointestinal endoscopy","description":"An endoscopic procedure used to directly visualize the esophagus, stomach, and duodenum.","types":["diagnostic technique"],"aliases":[],"contributors":[{"id":17,"public_id":"322360f1c1","public_label":"Killer Whale (322360f1c1)","roles":["extraction"],"url":"https://sah.borca.ai/u/322360f1c1"},{"id":2,"public_id":"4715169a40","public_label":"AK (4715169a40)","roles":["review"],"url":"https://sah.borca.ai/u/4715169a40"},{"id":391,"public_id":"x53qfq3ny9","public_label":"kafkapple (x53qfq3ny9)","roles":["review"],"url":"https://sah.borca.ai/u/x53qfq3ny9"}],"url":"https://sah.borca.ai/concepts/co_e19e359994c1b8c5b2c24ed650502553"}],"external_ids":{"DOI":"10.5833/JJGS.43.1246","ArXiv":null,"PubMed":null,"PubMedCentral":null,"MAG":2330098878,"DBLP":null,"ACL":null},"open_access":{"is_open_access":true,"pdf_url":"https://www.jstage.jst.go.jp/article/jjgs/43/12/43_43.1246/_pdf","landing_url":"https://www.semanticscholar.org/paper/b382822577bbe842d73d9a0bfff6faa2b139fa10","source":"semantic_scholar","pdf_url_source":"semantic_scholar_open_access_pdf","license":"CCBYNC","status":"HYBRID","reason":null},"reference_availability":{"status":"available","references_indexed":true,"full_text_available":false,"full_text_source":null,"count_basis":"semantic_scholar_metadata","extraction_status":"not_applicable","reason":null},"source":{"provider":"episteme2","base_corpus":"semantic_scholar_dump","freshness_mode":"unknown","basis":["semantic_scholar_metadata","postgres_metadata"],"limits":["paper metadata is based on indexed upstream scholarly datasets","claims and concepts are available only for extracted papers","absence of claims or concepts means no extracted graph data is available in this response"],"status":"available","degraded":false,"degraded_reasons":[],"diagnostics":{"status":"available","degraded":false,"degraded_reasons":[],"metadata_status":"available","graph_status":"available","abstract_status":"available"},"source_flags":1},"paper_id":631576,"paper_uid":"1820282b-a1b9-4a29-8768-b3fec3f824a0","canonical_identity":{"paper_id":631576,"paper_uid":"1820282b-a1b9-4a29-8768-b3fec3f824a0","identity_status":"available","lookup_basis":"semantic_scholar_external_id","compatibility_path":"corpus_id"},"url":"https://sah.borca.ai/papers/183746649"}