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Major arterial hemorrhage: a complication of pancreatic pseudocysts and chronic pancreatitis

J C Stanley, C F Frey, T A Miller

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 1, 1976
    PubMed

    Insights

    Major arterial hemorrhage is a serious complication of chronic pancreatitis and pancreatic pseudocysts, often linked to alcoholism. Surgical removal of diseased pancreatic tissue may reduce the risk of bleeding and death.

    Area of Science:

    • Gastroenterology and Hepatology
    • Vascular Surgery

    Background:

    • Pancreatic pseudocysts and chronic pancreatitis can lead to severe arterial hemorrhage.
    • Alcoholism is a primary cause of the underlying pancreatic disease.

    Purpose of the Study:

    • To analyze the characteristics and outcomes of major arterial hemorrhage secondary to pancreatic disease.
    • To evaluate the effectiveness of surgical interventions in managing this complication.

    Main Methods:

    • Retrospective review of twelve patients with arterial hemorrhage from pancreatic pseudocysts or chronic pancreatitis.
    • Analysis of bleeding sources, locations, patient demographics, and treatment strategies.

    Main Results:

    • Eleven patients had chronic alcoholism; one had abdominal trauma.
    • Hemorrhage occurred spontaneously in eight patients, with bleeding into the GI tract (8) and peritoneal cavity (4).
    • Sources included splenic, pancreaticoduodenal, and gastroduodenal arteries. Four patients died from hemorrhage.

    Conclusions:

    • Major arterial hemorrhage is a life-threatening complication of pancreatic disease.
    • Surgical extirpation of diseased pancreatic tissue may be crucial in reducing morbidity and mortality.

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