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2008 | 80 | 12 | 681-687
Article title

Pancreatic Pseudoaneurysm Presenting As Recurrent Gastrointestinal Bleeding

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EN
Abstracts
EN
A pancreatic pseudoaneurysm is a rare vascular malformation within the pancreas or in its immediate vicinity, resulting from vessel wall damage due to acute or chronic pancreatitis. Rupture of such malformation leads to a life-threatening hemorrhage. The treatment requires a precise and early diagnosis, indicating the need for surgical or conservative intervention.In this paper, a rare case of a pseudoaneurysm of the pancreaticoduodenal artery causing recurrent gastrointestinal bleeding and portal hypertension is presented. The malformation was discovered by Doppler ultrasound and computed angiotomography of the abdomen, and the diagnosis was confirmed upon surgical intervention. The bleeding vessel was closed by a stick tie from within the pseudoaneury-sm lumen. The portal hypertension was relieved by a partial resection of the pseudoaneurysm and the fibrosed pancreas. The postoperative course was uneventful.A summary has been made of the available reports on pancreatitis complication presenting as fluid spaces and the causes of GI bleeding in the course of this disease have been reviewed.
Publisher

Year
Volume
80
Issue
12
Pages
681-687
Physical description
Dates
published
1 - 12 - 2008
online
4 - 5 - 2010
Contributors
  • Department of General and Endocrine Surgery, Nicolaus Copernicus University in Toruń, Bydgoszcz
  • Department of General and Endocrine Surgery, Nicolaus Copernicus University in Toruń, Bydgoszcz
  • Department of General and Endocrine Surgery, Nicolaus Copernicus University in Toruń, Bydgoszcz
References
  • Frey CF: Pancreatic pseudocyst - operative strategy. Ann Surg 1978; 188(5): 652-62.
  • Lenhart DK, Balthazar EJ: MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collections. AJR Am J Roentgenol 2008; 190(3): 643-49.
  • Bergert H, Dobrowolski F, Caffier S et al.: Prevalence and treatment of bleeding complications in chronic pancreatitis. Langenbecks Arch Surg 2004; 389(6): 504-10.
  • Flati G, Salvatori F, Porowska B et al.: Severe hemorrhagic complications in pancreatitis. Ann Ital Chir 1995; 66(2): 233-37.
  • Du LT, Goes MJ, Cabane J et al.: Pancreatic pseudo-aneurysms in systemic lupus. Ann Med Interne (Paris) 1997; 148(4): 324-26.
  • Vujic I: Vascular complications of pancreatitis. Radiol Clin North Am 1989; 27(1): 81-91.[PubMed]
  • Ramesh H, Jacob G, Venugopal A et al.: Surgical management of chronic pancreatitis with portal hypertension - a 19-year experience. Surgery 2008; 143(2): 252-58.
  • Yoon YS, Kim SW, Her KH et al.: Management of postoperative hemorrhage after pancreatoduodenectomy. Hepatogastroenterology 2003; 50(54): 2208-12.
  • Green BT, Tuttle-Newhall J, Suhocki P et al.: Massive gastrointestinal hemorrhage due to rupture of a donor pancreatic artery pseudoaneurysm in a pancreas transplant patient. Clin Transplant 2004; 18(1): 108-11.[Crossref]
  • Wagner WH, Cossman DV, Treiman RL et al.: Hemosuccus pancreaticus from intraductal rupture of a primary splenic artery aneurysm. J Vasc Surg 1994; 19(1): 158-64.[Crossref]
  • Bohl JL, Dossett LA, Grau AM: Gastroduodenal artery pseudoaneurysm associated with hemosuccus pancreaticus and obstructive jaundice. J Gastrointest Surg 2007; 11(12): 1752-54.[WoS][PubMed][Crossref]
  • Etienne S, Pessaux P, Tuech JJ et al.: Hemosuccus pancreaticus: a rare cause of gastrointestinal bleeding. Gastroenterol Clin Biol 2005; 29(3): 237-42.[Crossref]
  • Bender JS, Bouwman DL, Levison MA et al.: Pseudocysts and pseudoaneurysms: surgical strategy. Pancreas 1995; 10(2): 143-47.[Crossref]
  • Pitkaranta P, Haapiainen R, Kivisaari L et al.: Diagnostic evaluation and aggressive surgical approach in bleeding pseudoaneurysms associated with pancreatic pseudocysts. Scand J Gastroenterol 1991; 26(1): 58-64.[Crossref]
  • Zyromski NJ, Vieira C, Stecker M et al.: Improved outcomes in postoperative and pancreatitisrelated visceral pseudoaneurysms. J Gastrointest Surg 2007; 11(1): 50-55.[Crossref][WoS]
  • de Perrot M, Berney T, Buhler L et al.: Management of bleeding pseudoaneurysms in patients with pancreatitis. Br J Surg 1999; 86(1): 29-32.
  • Tsai CC, Chiu KC, Mo LR et al.: Transcatheter arterial coil embolization of iatrogenic pseudoaneurysms after hepatobiliary and pancreatic interventions. Hepatogastroenterology 2007; 54(73): 41-46.
  • Udd M, Leppaniemi AK, Bidel S et al.: Treatment of bleeding pseudoaneurysms in patients with chronic pancreatitis. World J Surg 2007; 31(3): 504-10.[WoS][Crossref]
  • Moszczyński P, Żabiński Z, Frasik W i wsp.: Tętniak rzekomy trzustki. Wiad Lek 1996; 49(54): 1-6.
  • Novacic K, Vidjak V, Suknaic S et al.: Embolization of a large pancreatic pseudoaneurysm converted from pseudocyst (hemorrhagic pseudocyst). J of the Pancr 2008; 9: 317-21.
  • Mc Erlean A., Looby S, Lee MJ: Percutaneous Ultrasound-Guided Thrombin Injection as First-Line Treatment of Pancreatic Pseudoaneurysm. Cardiovasc Radiol 2007; 30: 526-28.[WoS]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-008-0097-z
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