[Gastroduodenal artery selective endovascular embolization in pancreatic pseudo-cyst hemorrhage]

The case of massive bleeding from gastroduodenal artery to pancreatic cyst is reported. In the literature there are only a few similar cases reported in the context of their occurrence and treatment. Bleeding was treated with gastroduodenal artery selective endovascular embolization. The article presents the classification, epidemiology and etiopathogenesis of visceral aneurysms. Consequences of aneurysm rupture were also underlined. The article lists different methods that can be used in the treatment of pseudoaneurysm with a specific estimation of endosvascular embolization in bleeding from ruptured aneurysm. The authors stress/ emphasize that arterial endovascular embolization is a mini-invasive and very effective treatment of acute bleeding from ruptured aneurysm in patients suffering from chronic pancreatitis. It allows curing of life-threatening bleedings and avoiding emergency laparotomies during which it is often difficult to find the source of bleeding. In addition, emboliztion may be considered as a preoperative initial procedure that improves general patient status. It allows you to temporarily cover dangerous bleeding and later, to treat electively considering pancreatic pseudocyst.