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[Upper gastrointestinal hemorrhage associated with chronic pancreatitis and pseudocyst: report of a case]
M A Nogara1, A M Cesar, J Kanegusuku
1Departamento de Clínica Médica, Universidade Federal do Paraná, Curitiba, PR.
Insights
A 30-year-old male with chronic alcoholism experienced gastrointestinal bleeding due to a false pancreatico-duodenal artery aneurysm. Endovascular embolization successfully controlled the bleeding, allowing for a rapid recovery.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Vascular Surgery
Background:
- Gastrointestinal bleeding can be a serious complication in patients with chronic alcoholism.
- Aneurysms of visceral arteries, such as the pancreatico-duodenal artery, are rare but can lead to life-threatening hemorrhage.
- Celiac axis arteriography is a key diagnostic tool for identifying the source of visceral artery bleeding.
Observation:
- A case study of a 30-year-old male with a history of chronic alcoholism presenting with significant gastrointestinal bleeding.
- Diagnostic imaging revealed a false aneurysm of the anterior pancreatico-duodenal artery.
- The patient's bleeding was acutely managed.
Findings:
- Successful embolization of the artery supplying the false aneurysm using the Gianturco-Wallace device.
- The interventional procedure effectively controlled the gastrointestinal hemorrhage.
- The patient demonstrated a rapid recovery, being discharged two days post-embolization.
Implications:
- Endovascular embolization is a viable and effective treatment for visceral artery aneurysms causing gastrointestinal bleeding.
- Minimally invasive techniques can lead to faster patient recovery and shorter hospital stays.
- This case highlights the importance of considering rare vascular pathologies in patients with obscure gastrointestinal bleeding, particularly those with risk factors like chronic alcoholism.
Abstract:
The authors present a case of a 30 years old chronic alcoholic male with gastrointestinal bleeding. Celiac axis arteriogram demonstrated a false aneurysm of the anterior pancreatico-duodenal artery. Bleeding was controlled by embolization of the nourishing artery using the Gianturco-Wallace device and the patient left the hospital 2 days after the procedure. A partial revision of the pertaining literature is presented.