Lumbar Artery Pseudoaneurysms Presenting as a Novel Complication of Severe, Necrotizing Pancreatitis.

necrotizing pancreatitis pancreas pancreatic cysts; pancreatic necrosis pancreatic pseudocyst pseudocyst

Journal

ACG case reports journal
ISSN: 2326-3253
Titre abrégé: ACG Case Rep J
Pays: United States
ID NLM: 101638398

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 15 03 2023
accepted: 20 07 2023
medline: 25 8 2023
pubmed: 25 8 2023
entrez: 25 8 2023
Statut: epublish

Résumé

Splanchnic artery pseudoaneurysms are a known complication of necrotizing pancreatitis. Lumbar artery pseudoaneurysms are rare and usually associated with trauma, renal biopsy, or spinal procedures. We present a rare case of lumbar artery pseudoaneurysms as a complication of necrotizing pancreatitis. A 55-year-old man initially presented with necrotizing biliary pancreatitis complicated by peripancreatic necrotic fluid collections and walled-off necrosis requiring multiple endoscopic ultrasound-guided necrosectomies. Inferoposterior extension of collections to the retroperitoneum caused lumbar artery pseudoaneurysms, leading to hemorrhagic shock from retroperitoneal and intraperitoneal hemorrhages.

Identifiants

pubmed: 37621303
doi: 10.14309/crj.0000000000001129
pii: ACGCR-23-0227
pmc: PMC10445782
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e01129

Informations de copyright

© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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Auteurs

Akash T Khurana (AT)

Department of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
Department of Medicine, Case Western Reserve University, Cleveland, OH.

Vibhu Chittajallu (V)

Department of Medicine, Case Western Reserve University, Cleveland, OH.
Digestive Health Institute, University of Hospitals Cleveland Medical Center, Cleveland, OH.

Steven Reed (S)

Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH.

Christopher Sutter (C)

Department of Medicine, Case Western Reserve University, Cleveland, OH.
Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH.

Brooke Glessing (B)

Department of Medicine, Case Western Reserve University, Cleveland, OH.
Digestive Health Institute, University of Hospitals Cleveland Medical Center, Cleveland, OH.

Classifications MeSH