scholarly journals Spontaneous pancreatic pseudocyst – superior mesenteric vein fistula: A rare complication of chronic pancreatitis

2020 ◽  
Vol 15 (10) ◽  
pp. 1939-1942
Author(s):  
Hanna Tomsan ◽  
Cristina Olivas-Chacon ◽  
Mohammad Reza Hayeri ◽  
Aparna Srinivasa Babu
Keyword(s):  
Chronic Pancreatitis ◽  
Superior Mesenteric Vein ◽  
Pancreatic Pseudocyst ◽  
Rare Complication ◽  
Mesenteric Vein

scholarly journals Fatal superior mesenteric vein thrombosis due to acute Appendicitis in an elderly patient

2022 ◽  
Author(s):  
Houssem Harbi ◽  
Issam Jedidi ◽  
Nozha Toumi ◽  
L Chtourou ◽  
Nizar Kardoun
Keyword(s):  
Elderly Patient ◽  
Pulmonary Embolism ◽  
Acute Appendicitis ◽  
Superior Mesenteric Vein ◽  
Rare Complication ◽  
Massive Pulmonary Embolism ◽  
Mesenteric Vein Thrombosis ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Superior Mesenteric Vein Thrombosis

Superior mesenteric vein thrombosis (SMVT) is a rare complication of acute appendicitis. It has no specific clinic manifestation. Anticoagulation, antibiotics and surgery are the main treatment pillars. We report herein a case of an 86-years-old women treated for acute appendicitis complicated with SMVT and massive pulmonary embolism.

scholarly journals Splenic artery pseudoaneurysm complicated by haemorrhage into pancreatic pseudocyst: a clinical case

2021 ◽  
Vol 28 (3) ◽  
pp. 144-154
Author(s):  
V. M. Durleshter ◽  
A. V. Makarenko ◽  
A. Yu. Bukhtoyarov ◽  
D. S. Kirakosyan
Keyword(s):  
Chronic Pancreatitis ◽  
Pancreatic Duct ◽  
Splenic Artery ◽  
Clinical Case ◽  
Pancreatic Pseudocyst ◽  
Rare Complication ◽  
Gastrointestinal Haemorrhage ◽  
Artery Pseudoaneurysm ◽  
Pancreatic Duct Stenting ◽  
Splenic Artery Pseudoaneurysm

Background. Splenic artery pseudoaneurysm is a rare complication of acute and chronic pancreatitis caused by an arterial wall lesion with aggressive pancreatic enzymes and followed by arrosive bleeding into pseudocyst lumen and the formation of a dense fibrous capsule prone to growth.Clinical Case Description. Patient M., 61 yo, was emergently admitted to Territorial Clinical Hospital No. 2 with a preliminary diagnosis: Chronic pancreatitis, incomplete remission. Pancreatic pseudocyst. Condition after endoscopic papillosphincterotomy, pancreatic duct stenting. Gastrointestinal haemorrhage. The patient complained of moderate persistent belting upper abdominal and left subcostal pain, nausea, general weakness, black liquid stool over last five days. Pancreonecrosis in history. Pseudocyst formation in two months, endoscopic papillosphincterotomy and pancreatic stenting in hospital, the aforementioned complaints appeared past three months. Moderate anaemia (haemoglobin 73 g/L, erythrocyte count 2.8 x 1012), hyperamylasaemia (amylase 170 U/L), no other pathology in general and biochemic blood panels. The patient was rendered urgent oesophagogastroduodenoscopy for large duodenal papilla, with no evident bleeding detected. Abdominal CT angiography revealed a haemorrhagic mass connected with splenic artery lumen in the projection of pancreatic tail. The patient was transferred to an interventional radiology room for coil embolisation of splenic artery. The postoperative period was benign, and the patient discharged on day 3 after surgery for outpatient surgical patronage. Definite clinical diagnosis: Chronic pancreatitis, incomplete remission. Splenic artery pseudoaneurysm with haemorrhage into pancreatic pseudocyst. Condition after endoscopic papillosphincterotomy, pancreatic duct stenting.Conclusion. Splenic artery pseudoaneurysm with haemorrhage into pancreatic pseudocyst is reluctant to early diagnosis due to a lacking definite clinical picture and tractable only at an interdisciplinary institution disposing with a rich diagnostic toolkit and sufficiently qualified medical personnel. Endovascular treatment is overall most effective and enables a reliable aneurysm isolation from the splenic artery basin.

scholarly journals A Case of a Chronic Pancreatic Pseudocyst Causing Atraumatic Splenic Rupture without Evidence of Acute Pancreatitis

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
P. Moori ◽  
E. J. Nevins ◽  
T. Wright ◽  
C. Bromley ◽  
Y. Rado
Keyword(s):  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pancreatic Pseudocyst ◽  
Splenic Rupture ◽  
Rare Complication ◽  
Splenic Hilum ◽  
History Of ◽  
Excessive Alcohol ◽  
Atraumatic Splenic Rupture ◽  
Common Understanding

Atraumatic splenic rupture is a rare complication of a pancreatic pseudocyst (PP), described in the setting of chronic pancreatitis. There is common understanding, within the literature, that an inflammatory process at the tail of the pancreas may disrupt the spleen and result in such splenic complications. The authors present a case report of a 29-year-old male with a PP, associated with chronic pancreatitis. The patient had a history of excessive alcohol intake and presented to the emergency department with a short history of abdominal pain and vomiting. He denied any significant history of trauma and serum amylase levels were normal. An admission computed tomography (CT) scan of the abdomen confirmed the presence of a PP in direct contact with the spleen. The CT also demonstrated a heterogenous hypodense area of the splenic hilum, along with perisplenic fluid. The patient was admitted for observation. His abdominal pain progressed, and he became haemodynamically unstable. An emergency ultrasound scan (USS) at this time revealed intra-abdominal haemorrhage. A subsequent CT confirmed splenic rupture, which was managed surgically with a full recovery. Few such cases are documented within the literature and more understanding of preempting such events is needed.

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