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Abdominal aortic aneurysm following acute pancreatitis
Linda D'Amore1, Salvatore Venosi, Francesco Gossetti
1Department of Surgery P. Stefanini, University of Rome La Sapienza, Rome, Italy.
Annali Italiani Di Chirurgia
|January 20, 2009
Summary
Acute pancreatitis can lead to vascular complications like aortic aneurysms. A case report details successful endovascular repair of an infrarenal aortic aneurysm following acute pancreatitis.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Interventional Radiology
Background:
- Acute pancreatitis can trigger vascular complications due to activated pancreatic enzymes.
- Elastase, a key enzyme, may degrade arterial elastic components, potentially causing aneurysms.
Observation:
- This case report focuses on a patient who developed an infrarenal aortic aneurysm after experiencing complicated acute pancreatitis.
- The aneurysm was successfully treated using an endovascular technique.
Findings:
- Activated pancreatic enzymes, particularly elastase, are implicated in the pathogenesis of arterial wall lysis.
- Endovascular repair is a viable treatment option for aortic aneurysms secondary to pancreatitis.
Implications:
- Highlights the potential for vascular complications following acute pancreatitis.
- Demonstrates the efficacy of endovascular techniques in managing pancreatitis-associated aortic aneurysms.
- Suggests a need for vigilance regarding vascular health in patients with a history of severe pancreatitis.
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