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Arterial Pseudoaneurysm within a Pancreatic Pseudocyst.
Veit Phillip1, Rickmer Braren2, Nikolaus Lukas3
1Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
Case Reports in Gastroenterology
|October 5, 2018
Summary
This case report details a rare complication of chronic pancreatitis: an arterial pseudoaneurysm within a pancreatic pseudocyst. Angioembolization successfully treated the condition, preventing critical bleeding.
Area of Science:
- Gastroenterology
- Interventional Radiology
Background:
- Pancreatic pseudocysts and arterial pseudoaneurysms are rare, life-threatening complications of pancreatitis.
- Chronic pancreatitis predisposes patients to these vascular and cystic pathologies.
Observation:
- A 67-year-old male with chronic pancreatitis presented with abdominal pain and vomiting.
- CT imaging revealed a pancreatic pseudocyst containing a pseudoaneurysm of the splenic artery.
- Elevated inflammatory markers, lipase, bilirubin, and glucose were noted.
Findings:
- The pancreatic pseudocyst measured 70 mm, with an associated 41 mm splenic artery pseudoaneurysm.
- Prophylactic coil embolization of the splenic artery was performed.
- The procedure successfully excluded the pseudoaneurysm from circulation using 27 coils.
Implications:
- This case highlights the successful management of a rare pancreatic pseudocyst complication.
- Angioembolization is an effective therapeutic option for pseudoaneurysms within pancreatic pseudocysts.
- Early diagnosis and intervention can prevent critical hemorrhage in pancreatitis patients.
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