[Imaging of a case of wirsungorrhagia].
We report a case of wirsungorrhagia related to rupture of a pseudoaneurysm into the duct of Wirsung in a patient with chronic pancreatitis. Upper gastrointestinal endoscopy showed blood coming from the papilla of Vater suggesting wirsungorrhagia. Non-contrast computed tomography showed a spontaneous hyperdensity and arteriography showed an extravasation of contrast within a very large duct of Wirsung confirming wirsungorrhagia. Arteriography and dynamic computed tomography revealed a pseudoaneurysm from the left gastric artery. The pseudoaneurysm was successfully embolized with four steel microcoils, after super-selective catheterization of small branch of the left gastric artery, keeping gastric and liver vascularization.
Dahan
H
H
Service de Radiologie, Hôpital Saint-Antoine, Paris.
Arrivé
L
L
Monnier-Cholley
L
L
Lewin
M
M
Rotenberg
L
L
Tubiana
J M
JM
D017541:Aneurysm, False / Q000209:etiology; D002908:Chronic Disease; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging*; D019512:Pancreatitis, Alcoholic / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D012422:Rupture, Spontaneous; D013270:Stomach / Q000098:blood supply
Imagerie d'une wirsungorragie.