Recurrent hemorrhage into the pancreatic duct from a splenic artery aneurysm.
We describe a case of upper gastrointestinal hemorrhage secondary to splenic artery aneurysm-pancreatic duct fistula, with associated partial common bile duct obstruction and pancreatitis. The literature is reviewed briefly in order to stress distinctive clinical features and caveats in diagnosis. Angiography is the most definitive diagnostic study; surgical resection is curative.
D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003137:Common Bile Duct Diseases / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D010183:Pancreatic Ducts; D010185:Pancreatic Fistula / Q000175:diagnosis; D010195:Pancreatitis / Q000150:complications; D012008:Recurrence; D012812:Sigmoidoscopy; D013157:Splenic Artery; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery