scholarly journals Embolisation of branches of the superior mesenteric artery in the treatment of haemosuccus pancreaticus

2019 ◽  
Vol 12 (5) ◽  
pp. e229110
Author(s):  
Selma Regina de Oliveira Raymundo ◽  
Gabriela Leopoldino da Silva ◽  
Luiz Fernando Reis ◽  
Antonio Fernandes Freire
Keyword(s):  
Chronic Pancreatitis ◽  
Mesenteric Artery ◽  
Main Pancreatic Duct ◽  
Gi Bleeding ◽  
Visceral Aneurysm ◽  
Pseudoaneurysm Formation ◽  
First Choice ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Upper Gastrointestinal

Haemosuccus pancreaticus (HP) is an uncommon cause of upper gastrointestinal (GI) bleeding, most often intermittent, making it difficult to diagnose, becoming fatal. It usually occurs in patients with chronic pancreatitis and is caused by the rupture of a visceral aneurysm within the main pancreatic duct. The association between pseudoaneurysm formation and pancreatitis is well established. Pseudoaneurysm occurs in 3.5%–10% of pancreatitis cases and its rupture is a rare but life-threatening complication of chronic pancreatitis occurring in 6%–8% of patients with pseudocysts and corresponds to less than 1% of cases of GI bleeding.Its diagnosis is challenging, given the intermittent nature of bleeding. Angiographic therapy is considered the first-choice treatment, especially in patients who are stable haemodynamically. We present a case of embolisation of inferior pancreaticoduodenal branches with polyvinyl alcohol microparticles in the treatment of HP.

scholarly journals Spontaneous pancreatic pseudocyst–portal vein fistula: a rare and potentially life threatening complication of pancreatitis

2013 ◽  
Vol 95 (1) ◽  
pp. e7-e9 ◽  
Author(s):  
SS Raza ◽  
A Hakeem ◽  
M Sheridan ◽  
N Ahmad
Keyword(s):  
Chronic Pancreatitis ◽  
Portal Vein ◽  
Pancreatic Pseudocyst ◽  
Conservative Approach ◽  
Fatal Complication ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Acute And Chronic Pancreatitis ◽  
Pseudocyst Formation

Pseudocyst formation following acute and chronic pancreatitis is a well known complication. A pancreatic pseudocyst fistulating into the portal vein is a rare and potentially fatal complication. We report a case of pancreatic pseudocyst – portal vein fistula, which was managed with a conservative approach.

Pseudoaneurysm of the superior mesenteric artery: A life-threatening complication after pancreatic surgery

Pancreatology ◽  
2015 ◽  
Vol 15 (3) ◽  
pp. e8-e9
Author(s):  
O. Ferro ◽  
J. Soria ◽  
J. Guijarro ◽  
M. Garcés ◽  
E. Muñoz ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Pancreatic Surgery ◽  
Life Threatening ◽  
Life Threatening Complication

scholarly journals Upper Gastrointestinal Bleeding due to Hemobilia

2016 ◽  
Vol 36 (1) ◽  
pp. 100-102
Author(s):  
Ritu Lamichhane ◽  
Binita G. Joshi ◽  
Nishant Wadhwa ◽  
Arun Gupta
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Liver Trauma ◽  
Right Hepatic Artery ◽  
Life Threatening ◽  
Pseudo Aneurysm ◽  
Life Threatening Complication ◽  
Trauma Ct ◽  
Upper Gastrointestinal

Haemobilia is one rare but potentially life threatening complication of delayed haemorrhage following liver trauma which occurs as a result of pathological communication between bile ducts and intra or extrahepatic vessels. We describe here a case of two year old child who presented with upper gastrointestinal bleeding and developed haemobilia in one month duration after blunt abdominal trauma. CT angiography revealed a right hepatic artery pseudo aneurysm as the cause of haemobilia and was successfully treated with right hepatic artery embolisation.J Nepal Paediatr Soc 2016;36(1):100-102.

scholarly journals Upper gastrointestinal bleeding in chronic pancreatitis

1970 ◽  
Vol 32 (2) ◽  
pp. 47-50
Author(s):  
BP Kandel ◽  
B Ghimire ◽  
PJ Lakhey ◽  
UK Shrestha ◽  
M Khakurel
Keyword(s):  
Chronic Pancreatitis ◽  
Past History ◽  
Rare Complication ◽  
Gastroepiploic Artery ◽  
Institute Of Medicine ◽  
Gi Bleeding ◽  
Artery Pseudoaneurysm ◽  
Right Gastroepiploic Artery ◽  
Pancreatic Duct Stenting ◽  
Upper Gastrointestinal

Pseudoaneurysm of peripancreatic vessels is a rare complication of chronic pancreatitis. Being close to the pancreas, splenic artery is the most frequently affected vessel whereas right gastroepiploic artery pseudoaneurysm is very rare. Rupture of such pseudoaneurysm is a rare cause of upper gastrointestinal (GI) bleeding. We report a patient of chronic pancreatitis with past history of pancreatic duct stenting who presented with massive upper GI bleeding and stent migration. Bleeding from pseudoaneurysm of right gastroepiploic artery was detected in angiography. Coil embolization was done but later rebleeding occurred and was managed with laparotomy and ligation of the pseudoaneurysm. Patient improved during postoperative period. Keywords: chronic pancreatitis; embolization; pseudoaneurysm DOI: http://dx.doi.org/10.3126/joim.v32i2.4946 Journal of Institute of Medicine, August, 2010; 32: 47-50

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

Open Medicine ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. 370-373
Author(s):  
Deepak Pattanshetty ◽  
Pradeep Bhat
Keyword(s):  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Early Recognition ◽  
Left Gastric Artery ◽  
Gastric Artery ◽  
Artery Pseudoaneurysm ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication ◽  
High Index Of Suspicion

AbstractLeft 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.

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