Splenic artery pseudoaneurysm with hemosuccus pancreaticus requiring multimodal treatment.
Adult
Aneurysm, False
/ diagnostic imaging
Celiac Artery
/ diagnostic imaging
Embolization, Therapeutic
Gastrointestinal Hemorrhage
/ diagnostic imaging
Humans
Ligation
Male
Pancreatectomy
Pancreatic Diseases
/ diagnostic imaging
Pancreatic Ducts
/ diagnostic imaging
Splenectomy
Splenic Artery
/ diagnostic imaging
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures
/ methods
Endovascular
Hemosuccus pancreaticus
Pseudoaneurysm
Splenic artery
Journal
Journal of vascular surgery
ISSN: 1097-6809
Titre abrégé: J Vasc Surg
Pays: United States
ID NLM: 8407742
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
10
02
2018
accepted:
16
06
2018
pubmed:
30
8
2018
medline:
23
4
2019
entrez:
30
8
2018
Statut:
ppublish
Résumé
Termed hemosuccus pancreaticus by Sandblom in 1970, hemorrhage from the pancreatic duct into the gastrointestinal tract represents a rare and challenging problem. Patients present with repeated upper gastrointestinal bleeding that is intermittent but often self-limited. In most cases, this pathophysiologic process is secondary to pancreatitis, chronic inflammation, and subsequent splenic artery pseudoaneurysm bleeding. Previously treated with open splenectomy and distal pancreatectomy, hemosuccus pancreaticus is now often managed with minimally invasive endovascular means. We describe an uncommon presentation of hemosuccus pancreaticus in the absence of prior pancreatitis, requiring open splenectomy, distal pancreatectomy, and celiac artery ligation after failed endovascular intervention.
Identifiants
pubmed: 30154016
pii: S0741-5214(18)31688-4
doi: 10.1016/j.jvs.2018.06.198
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
592-595Informations de copyright
Copyright © 2018 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.