Portal vein erosion and acute abdominal hemorrhage as a complication of acute pancreatitis.
The case of a 35-year-old male with portal vein erosion and acute life-threatening abdominal hemorrhage as a complication of acute pancreatitis is reported. Erosion of arterial walls is the most common complication of pancreatitis and pancreatic pseudocysts, and erosion of the portal vein leading to a fistula between the pancreas and the portal vein is very rare. Diagnosis was made by multislice spiral computed tomography, and nonsurgical treatment was elected, leading to complete recoverage.
Ko
H S
HS
Department of Clinical Radiology, Mannheim University Hospital, University of Heidelberg, Theodor Kutzer Ufer 1-3, 68167 Mannheim, Germany.
Anders
M
M
Diehl
S
S
Dominguez
E
E
Löhr
M
M
Düber
C
C
D000208:Acute Disease; D000328:Adult; D006465:Hemoperitoneum / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications* / Q000473:pathology; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed