title: [Gastrointestinal hemorrhage secondary to a pancreatic pseudoaneurysm].
abstract: Acute hemorrhage from pancreatic pseudoaneurysm is the most rapidly fatal complication of pancreatitis, with a reported mortality rate of > 90% in untreated patients. The diagnosis of pancreatic pseudoaneurysm requires a high index of suspicion and the abdominal angiography is the gold standard. Transcatheter embolization is an alternative to surgery for treatment in selected patients. Early diagnosis and treatment decrease the mortality dramatically. We describe a patient with a gastrointestinal bleeding from a ruptured pancreatic pseudoaneurysm, with an angiography diagnosis and transcatheter embolization. We treated the pseudocyst with an endoscopic drainage. A review of literature is presented.
authors.affiliation: Servicio de Digestivo, Hospital Son Dureta, Palma de Mallorca.
authors.forename: D
authors.initials: D
authors.lastname: Ginard Vicens
authors.forename: A
authors.initials: A
authors.lastname: Llompart Rigo
authors.forename: L
authors.initials: L
authors.lastname: Bonet Vidal
authors.forename: A
authors.initials: A
authors.lastname: Sapiña Camaró
authors.forename: J
authors.initials: J
authors.lastname: Gayá Cantallops
authors.forename: J
authors.initials: J
authors.lastname: Pueyo Mur
authors.forename: P
authors.initials: P
authors.lastname: Vaquer Arnau
authors.forename: J
authors.initials: J
authors.lastname: Riera Oliver
authors.forename: A
authors.initials: A
authors.lastname: Sansó Sureda
authors.forename: C
authors.initials: C
authors.lastname: Garrido Durán
authors.forename: A
authors.initials: A
authors.lastname: Obrador Adrover
mesh_terms: D017541:Aneurysm, False / Q000150:complications* / Q000628:therapy; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D019512:Pancreatitis, Alcoholic / Q000150:complications*