scholarly journals Spontaneous regression of splenic artery pseudoaneurysm: a rare complication of acute pancreatitis

2013 ◽  
pp. 17 ◽  
Author(s):  
Wilson Castillo ◽  
Ortega ◽  
Mariscal
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Artery ◽  
Spontaneous Regression ◽  
Rare Complication ◽  
Artery Pseudoaneurysm ◽  
Splenic Artery Pseudoaneurysm

scholarly journals Urgent endovascular ligature of a ruptured splenic artery pseudoaneurysm in a patient with acute pancreatitis: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Anna Maria Ierardi ◽  
Mario Petrillo ◽  
Raffaella Capasso ◽  
Federico Fontana ◽  
Alessandro Bacuzzi ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Splenic Artery ◽  
Artery Pseudoaneurysm ◽  
Splenic Artery Pseudoaneurysm

scholarly journals Splenic artery pseudoaneurysm causing delayed gastrointestinal bleeding after gastrocolonic fistula following sleeve gastrectomy

2018 ◽  
Vol 100 (1) ◽  
pp. e15-e17 ◽  
Author(s):  
JF Ball ◽  
L Sreedharan ◽  
S Reddy ◽  
BHL Tan ◽  
V Sujendran
Keyword(s):  
Sleeve Gastrectomy ◽  
Gastrointestinal Bleeding ◽  
Splenic Artery ◽  
Rare Complication ◽  
Gastric Fistula ◽  
Artery Pseudoaneurysm ◽  
Massive Gastrointestinal Bleeding ◽  
Life Threatening ◽  
Longitudinal Sleeve Gastrectomy ◽  
Splenic Artery Pseudoaneurysm

Delayed gastrointestinal bleeding in the context of a gastric fistula is a very rare complication of longitudinal sleeve gastrectomy. We report the case of a patient who presented with massive gastrointestinal bleeding from a pseudoaneurysm arising from the splenic artery following complications after a longitudinal sleeve gastrectomy several months previously. The case was successfully managed with angiographic embolisation and we present our experience with recommendations for managing this rare but life-threatening complication.

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.

Ruptured splenic artery pseudoaneurysm complicating acute pancreatitis

2011 ◽  
Vol 30 (11) ◽  
pp. e77-e78
Author(s):  
Y. Zarrouki ◽  
R. Elhaouatti ◽  
M. Khallouki ◽  
D. Boumzebra ◽  
M.A. Samkaoui
Keyword(s):  
Acute Pancreatitis ◽  
Splenic Artery ◽  
Artery Pseudoaneurysm ◽  
Splenic Artery Pseudoaneurysm

scholarly journals A case of splenic artery pseudoaneurysm rupture presenting as rectal bleeding in a regional hospital

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Jonathon N Holt ◽  
Heinrich E Schwalb
Keyword(s):  
Rectal Bleeding ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Regional Hospital ◽  
Alcoholic Pancreatitis ◽  
Chronic Alcoholic Pancreatitis ◽  
Chronic Alcoholic ◽  
Artery Pseudoaneurysm ◽  
Previous Trauma ◽  
Splenic Artery Pseudoaneurysm

Abstract Splenic artery pseudoaneurysm is a rare phenomenon most associated with chronic pancreatitis or previous trauma. Complications can include erosion and rupture into local structures, a situation that carries a reported mortality of 10–40%. A 58-year-old male with chronic alcoholic pancreatitis and a known splenic artery pseudoaneurysm presented to the emergency department of a regional hospital with rectal bleeding and sepsis. Computed tomography revealed a peri-splenic mass communicating with the splenic flexure. The patient was taken for an emergency splenectomy and left hemicolectomy and was confirmed to have rupture of the splenic artery aneurysm into the large bowel. This case presented with comparable features reported in the literature and demonstrates that access to emergency specialist surgical services in a regional setting offers the capability to manage rare, life threatening surgical emergencies.

scholarly journals Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm

2013 ◽  
Vol 79 (3-4) ◽  
Author(s):  
M. Irfan ◽  
F. Thiavalappil ◽  
J. Nagaraj ◽  
T.H. Brown ◽  
D. Roberts ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Splenic Artery ◽  
Artery Pseudoaneurysm ◽  
Pancreatic Tuberculosis ◽  
Pancreatic Lymph Nodes ◽  
Splenic Artery Pseudoaneurysm ◽  
Draining Lymph Nodes

Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm. M. Irfan, F. Thiavalappil, J. Nagaraj, T.H. Brown, D. Roberts, L. Mcknight, N.K. Harrison. Tuberculosis involving the pancreas is rare. We report a patient with pancreatic tuberculosis complicated by haemorrhage from a splenic artery pseudoaneurysm. As far as we are aware, the development of a splenic artery pseudoaneurysm in association with a large caseating mass of tuberculous pancreatic lymph nodes has not been reported previously. We review the literature and discuss the varied presentations of tuberculosis involving the pancreas or the pancreatic bed and its draining lymph nodes.

Splenic artery pseudoaneurysm and resultant haematosuccus pancreaticus

2021 ◽  
Vol 14 (3) ◽  
pp. e239485
Author(s):  
Shwetambari Sonanis ◽  
Benjamin Layton ◽  
Oliver Nicholson ◽  
DA Subar
Keyword(s):  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Splenic Artery ◽  
Clinical Symptoms ◽  
Cross Sectional ◽  
Artery Pseudoaneurysm ◽  
Risk Of Rupture ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Splenic Artery Pseudoaneurysm

Splenic artery pseudoaneurysm (SAP) is a rare and dangerous diagnosis with a high risk of rupture and death. It is the most common cause of main pancreatic duct haematoma—haematosuccus pancreaticus (HP). Neither SAP nor HP have specific clinical features that allow diagnosis without cross-sectional imaging. Upper gastrointestinal haemorrhage and a history of pancreatitis should raise clinical suspicion but ultimately endoscopy and CT are required. We report a case of a 51-year-old man without clinical symptoms in whom cross-sectional imaging was undertaken for incidental severe acute anaemia. This demonstrated stigmata of chronic pancreatitis and the main pancreatic duct was distended with dense material in keeping with haematoma. The diagnosis of a SAP bleeding into the main pancreatic duct was made radiologically. A subsequent oesophago-gastro-duodenoscopy confirmed the diagnosis. The imaging appearances, pathophysiology and management are discussed.

Sign in / Sign up

Export Citation Format

Share Document