[Massive pseudocysto-jejunal hemorrhage caused by rupture of pseudoaneurysm of the splenic artery].
The authors report a case of massive intestinal hemorrhage caused by rupture of a splenic artery pseudoaneurysm into a pseudocystojejunostomy. The pathologic and clinical features of this unusual complication of pancreatitis are discussed. One hundred and seventy one cases of major bleeding associated with pseudocysts and/or pseudoaneurysms have been reported in the literature during the period 1989-May 1991. Acute and chronic pancreatitis may be the underlying etiologies and the overall mortality rate of this complication is 35.1%. According to the authors experience, angiographic localization of the bleeding sources and steel coil embolization play a key role in the diagnostic and therapeutic approach to what is generally regarded as the most rapidly lethal sequelae of pancreatitis.
Flati
G
G
V Patologia Chirurgica, Università degli Studi La Sapienza di Roma, Italia.
Negro
P
P
Porowska
B
B
Flati
D
D
Salvatori
F
F
Saputelli
A
A
Talarico
A
A
Hidalgo
M
M
Carboni
M
M
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007579:Jejunal Diseases / Q000209:etiology*; D007582:Jejunostomy; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D013157:Splenic Artery
Hemorragia pseudoquisto-yeyunal masiva por rotura de pseudoaneurisma de la arteria esplénica.