Left Gastric Artery Pseudoaneurysm Complicating Chronic Calcifying Pancreatitis in a Child

Md S Ahmad1, Biswajit Sahoo2, Kanishka Das1

  • 1Pediatric Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

Cureus
|February 27, 2023
PubMed

Insights

A rare pseudoaneurysm complication of pancreatitis was successfully treated in a pediatric patient using angiographic coiling. This interventional radiology approach averted emergency surgery and life-threatening hemorrhage.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Pediatric Surgery

Background:

  • Left gastric artery pseudoaneurysms are rare but serious complications of pancreatitis.
  • These vascular issues are associated with high rates of morbidity and mortality.
  • Management in pediatric patients presents unique challenges.

Observation:

  • A 14-year-old male with chronic idiopathic calcifying pancreatitis presented with severe abdominal pain and an abdominal mass.
  • Computed tomography revealed a pseudocyst and a pseudoaneurysm adjacent to the left gastric artery.
  • The patient was awaiting surgical intervention for his pancreatic condition.

Findings:

  • Successful endovascular management of the left gastric artery pseudoaneurysm was achieved via angiographic coiling.
  • The patient subsequently underwent definitive pancreatic surgery.
  • This approach successfully treated the vascular complication and prevented hemorrhage.

Implications:

  • Early detection and interventional radiologic management are crucial for pseudoaneurysms in pancreatitis patients.
  • Endovascular coiling can be a life-saving, non-emergency option in pediatric cases.
  • This strategy can avert the need for emergent surgery in complex pediatric cases.

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