Late manifestation of hepatic artery pseudoaneurysm: case presentation and review.

Pseudoaneurysms of the hepatic artery are a rare cause for upper gastrointestinal hemorrhage and usually become clinically evident within 5 months from the inciting traumatic event. We report a case of recurrent massive upper gastrointestinal hemorrhage from a hepatic artery pseudoaneurysm sustained in an automobile accident 2 yr before the first episode of bleeding. Difficulty in early diagnosis and treatment of hepatic artery aneurysm remain the major reason for the associated high mortality.

Pancreatic adenocarcinoma in a patient with Peutz-Jeghers syndrome--a case report and literature review.

A variety of intestinal and extraintestinal neoplasms has been associated with Peutz-Jeghers syndrome, although to our knowledge, there has been no reported case of associated pancreatic neoplasm. We report a 38-yr-old man with Peutz-Jeghers syndrome and pancreatic adenocarcinoma and review current literature regarding a neoplastic diathesis in these patients.