title: [Imaging of a case of wirsungorrhagia].
abstract: 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.
authors.affiliation: Service de Radiologie, Hôpital Saint-Antoine, Paris.
authors.forename: H
authors.initials: H
authors.lastname: Dahan
authors.forename: L
authors.initials: L
authors.lastname: Arrivé
authors.forename: L
authors.initials: L
authors.lastname: Monnier-Cholley
authors.forename: M
authors.initials: M
authors.lastname: Lewin
authors.forename: L
authors.initials: L
authors.lastname: Rotenberg
authors.forename: J M
authors.initials: JM
authors.lastname: Tubiana
mesh_terms: 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
vernacular_title: Imagerie d'une wirsungorragie.