title: [Massive pseudocysto-jejunal hemorrhage caused by rupture of pseudoaneurysm of the splenic artery].
abstract: 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.
authors.affiliation: V Patologia Chirurgica, Università degli Studi La Sapienza di Roma, Italia.
authors.forename: G
authors.initials: G
authors.lastname: Flati
authors.forename: P
authors.initials: P
authors.lastname: Negro
authors.forename: B
authors.initials: B
authors.lastname: Porowska
authors.forename: D
authors.initials: D
authors.lastname: Flati
authors.forename: F
authors.initials: F
authors.lastname: Salvatori
authors.forename: A
authors.initials: A
authors.lastname: Saputelli
authors.forename: A
authors.initials: A
authors.lastname: Talarico
authors.forename: M
authors.initials: M
authors.lastname: Hidalgo
authors.forename: M
authors.initials: M
authors.lastname: Carboni
mesh_terms: 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
vernacular_title: Hemorragia pseudoquisto-yeyunal masiva por rotura de pseudoaneurisma de la arteria esplénica.