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[A case of multiple bleeding pseudoaneurysms complicating acute pancreatitis]
Young Hae Sohn1, Young Eun Joo, Chang Hwan Park
1Department of Internal Medicine, Chonnam National University Medical School, 8 Hak-dong, Dong-gu, Gwangju 501-757, Korea. im-sohn@hanmail.net
The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|December 4, 2003
Summary
Multiple pseudoaneurysms causing gastrointestinal bleeding after acute pancreatitis are rare. Percutaneous angiographic embolization successfully treated this condition, offering a less invasive alternative to surgery.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Vascular Surgery
Background:
- Arterial pseudoaneurysms are rare but serious complications of pancreatitis.
- Massive gastrointestinal bleeding can result from these pseudoaneurysms.
- Surgical treatment carries high mortality, making alternative therapies crucial.
Observation:
- Acute pancreatitis can lead to pseudoaneurysmal hemorrhage.
- Multiple pseudoaneurysmal hemorrhage without pseudocyst formation in acute pancreatitis is extremely rare.
- Hemorrhage can occur into the peritoneal cavity or pseudocysts.
Findings:
- This case report details multiple pseudoaneurysmal hemorrhage secondary to acute pancreatitis.
- Percutaneous angiographic embolization was successfully employed for management.
- The intervention provided a viable alternative to high-mortality surgical options.
Implications:
- Percutaneous angiographic embolization is an effective treatment for arterial pseudoaneurysms complicating pancreatitis.
- This minimally invasive approach offers a potentially life-saving option for patients with massive bleeding.
- Highlights the importance of considering rare presentations of pancreatitis complications.