Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

• Authors: Deepak Pattanshetty , Pradeep Bhat
• Languages of publication: EN

Abstracts

EN

Left gastric artery pseudoaneurysm is a rare but important life-threatening complication of chronic pancreatitis. We report a case of a 54-year-old male with chronic pancreatitis who presented with history of severe abdominal pain. Following an initial suspicion of acute pancreatitis, a computed tomography of abdomen was obtained that showed a large left gastric artery pseudoaneurysm (4×4 cm) with circumferential thrombosis. The patient then underwent successful angiographic coiling of the aneurysm, thus preventing a potentially life-threatening hemorrhage. In conclusion, in patients with a history of chronic pancreatitis who present with abdominal pain, a high index of suspicion should be maintained for alternate causes of abdominal pain such as visceral aneurysms involving left gastric artery. Early recognition is critical and consequences of missing these lesions can be catastrophic.

Keywords

EN

Left gastric artery pseudoaneurysm; Chronic pancreatitis; Chronic abdominal pain

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 3
• Pages: 370-373

Dates

published

1 - 6 - 2014

online

8 - 7 - 2014

Contributors

author

Deepak Pattanshetty

• Department of Internal medicine, Cleveland Clinic Hospital, Cleveland, Ohio, 44195, USA

author

Pradeep Bhat

• Heart and Vascular Center, MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio, 44109, USA

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Identifiers

DOI

10.2478/s11536-013-0302-2