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Aneurysms secondary to pancreatitis
AJR. American Journal of Roentgenology
|September 1, 1976
Summary
Arterial aneurysms in the peripancreatic vessels are a key differentiator for pancreatitis, distinguishing it from pancreatic cancer. These aneurysms, though rare, are significant indicators and potential sources of hemorrhage in pancreatitis patients.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Pancreatitis and pancreatic carcinoma share similar angiographic features, including arterial encasement and venous obstruction.
- Differentiating between these conditions is crucial for appropriate patient management and treatment strategies.
Purpose of the Study:
- To investigate the prevalence of peripancreatic arterial aneurysms in pancreatitis.
- To assess the diagnostic value of these aneurysms in differentiating pancreatitis from pancreatic carcinoma.
Main Methods:
- Retrospective review of arteriograms from 72 patients with pancreatitis.
- Comparison with arteriograms from 84 patients with pancreatic carcinoma.
- Analysis of angiographic findings, specifically focusing on peripancreatic arterial aneurysms.
Main Results:
- Seven out of 72 pancreatitis patients (9.7%) exhibited arterial aneurysms of peripancreatic vessels.
- No aneurysms were identified in 84 patients with pancreatic carcinoma.
- Peripancreatic arterial aneurysms were observed as a distinguishing feature in pancreatitis.
Conclusions:
- The presence of peripancreatic arterial aneurysms is a significant differential diagnostic finding for pancreatitis compared to pancreatic carcinoma.
- These aneurysms can mimic features of malignancy due to arterial encasement and venous obstruction.
- Peripancreatic arterial aneurysms represent a critical source of hemorrhage and mortality in pancreatitis.
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