[Gastrointestinal hemorrhage secondary to a pancreatic pseudoaneurysm].
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.
Ginard Vicens
D
D
Servicio de Digestivo, Hospital Son Dureta, Palma de Mallorca.
Llompart Rigo
A
A
Bonet Vidal
L
L
Sapiña Camaró
A
A
Gayá Cantallops
J
J
Pueyo Mur
J
J
Vaquer Arnau
P
P
Riera Oliver
J
J
Sansó Sureda
A
A
Garrido Durán
C
C
Obrador Adrover
A
A
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*