Peripancreatic vascular occlusions as a complication of pancreatitis.
In the case records of patients with a pancreatic inflammatory state (1,268 patients) during a 15-year period (1972-1986) we found 11 patients, who were diagnosed as having vascular obstruction in association with pancreatitis. The incidence was thus found to be 0.9%. This incidence was three times higher in chronic than in acute pancreatitis. Vessels near the head of the gland were the most frequently affected. Arteries predominated (64%). A laparotomy had been previously performed on seven patients. Thus manipulation of the pancreas may be an important co-factor in pathogenesis. Ten patients (91%) died. Only four (36%) were correctly diagnosed before autopsy. The diagnostics and clinical implications of various forms of vascular occlusions with pancreatitis are discussed.
Nordback
I
I
Department of Surgery, University Central Hospital, University of Tampere, Finland.
Sisto
T
T
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000209:etiology*; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*; D011169:Portal Vein; D013162:Splenic Vein; D013927:Thrombosis / Q000209:etiology*