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Chronic Pancreatitis Complicated by Pseudoaneurysm Causing Gastrointestinal Bleeding.
Brandon Y Boeur1, Hussein Haidari1, Sagar Kumar2
1Internal Medicine, University of South Alabama, Mobile, USA.
Cureus
|June 30, 2025
Summary
Patients with chronic pancreatitis can develop pseudoaneurysms, leading to gastrointestinal bleeding. Early detection and artery coil embolization are crucial for managing this serious complication.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Chronic pancreatitis is characterized by recurrent acute flares and inflammation.
- Inflammatory processes in chronic pancreatitis can lead to pseudoaneurysm formation, particularly in celiac trunk branches.
- Pseudoaneurysms pose a risk of significant gastrointestinal bleeding.
Observation:
- A patient with chronic pancreatitis experienced an acute flare and subsequent drop in hemoglobin.
- Initial upper endoscopy visualized duodenal blood but no definitive source.
- Computed tomography angiography revealed a left gastric artery pseudoaneurysm.
Findings:
- The patient underwent successful left gastric artery pseudoaneurysm coil embolization.
- Post-procedure, the patient's hemoglobin levels stabilized.
- The patient was discharged shortly after the intervention.
Implications:
- Early identification of pseudoaneurysms in chronic pancreatitis patients is vital for timely intervention.
- Artery coil embolization is an effective treatment for pseudoaneurysms causing gastrointestinal bleeding.
- This case highlights the importance of multidisciplinary care in managing complex gastrointestinal complications.
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