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Successful transcatheter embolization of pseudoaneurysm associated with pancreatic pseudocyst
1Department of Internal Medicine, School of Medicine, Tokai University, Kanagawa, Japan.
Insights
Hemorrhage into pancreatic pseudocysts, a rare but lethal complication of chronic pancreatitis, can stem from visceral artery aneurysms. This case highlights successful embolization of a pancreaticoduodenal artery aneurysm causing such bleeding.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Interventional Radiology
Background:
- Hemorrhage into pancreatic pseudocysts is a rare but life-threatening complication of chronic pancreatitis.
- Visceral artery aneurysms are frequently observed in patients with chronic pancreatitis.
Observation:
- This case report details bleeding from an anterior superior pancreaticoduodenal artery aneurysm.
- The aneurysm was directly attributed to chronic pancreatitis.
Findings:
- Successful treatment of the bleeding aneurysm was achieved through embolization.
- A steel coil was utilized as the embolic agent.
Implications:
- This case underscores the importance of considering visceral artery aneurysms in patients with chronic pancreatitis presenting with pseudocyst hemorrhage.
- Embolization offers a viable and effective treatment option for such rare but critical vascular complications.
Abstract:
Hemorrhage into a pancreatic pseudocyst is a rare event, but is the most rapidly lethal complication of chronic pancreatitis. Visceral-vessel aneurysms are an unexpectedly common finding in arteriography of patients with chronic pancreatitis. This case report describes bleeding from an anterior superior pancreaticoduodenal artery aneurysm, caused by chronic pancreatitis. The aneurysm was successfully treated by embolization with a steel coil.