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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.
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.
Abstract:
A left gastric artery pseudoaneurysm is a rare complication of pancreatitis and is associated with significant morbidity and mortality. We report a 14-year-old male with severe abdominal pain and a palpable upper abdominal mass, earlier diagnosed as chronic idiopathic calcifying pancreatitis, and awaiting surgical intervention. Computed tomography showed a pseudocyst and a pseudoaneurysm in the lesser sac near the left gastric artery. The patient underwent successful angiographic coiling of the left gastric artery and definitive pancreatic surgery weeks thereafter. The early detection and interventional radiologic management of the vascular complication averted a life-threatening hemorrhage without emergency surgery in a pediatric patient.
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