[Hemorrhage in the Wirsung's duct caused by aneurysm of the splenic artery in chronic pancreatitis].
Two cases of haemorrhage from rupture of a splenic artery aneurysm into the pancreatic duct are reported. Both patients suffered from chronic pancreatitis; when haemorrhage appeared both patients experienced abdominal pain. In one patient the melaena was repetitive, in the other one--with a single episode of melaena - the endoscopy showed fresh blood near the papilla. In both patients ultrasonography and computerized tomography (CT) revealed a cystic mass in the pancreatic tail; CT scan also showed a clear contrast enhancement of these lesions after iodinated medium intravenous bolus. Coeliac arteriography confirmed the presence of two large saccular aneurysmal dilatation of the splenic artery. Both patients underwent a laparotomy: distal pancreatectomy with aneurysm resection and splenectomy were successfully performed.
Uomo
G
G
Visconti
M
M
Ziviello
M
M
Galloro
G
G
Rabitti
P G
PG
Galloro
V
V
D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D002908:Chronic Disease; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000209:etiology; D010183:Pancreatic Ducts; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis; D013157:Splenic Artery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Emorragia nel dotto di Wirsung da aneurismi dell'arteria splenica in corso di pancreatite cronica.