Acute deterioration of a woman following acute pancreatitis with pseudocysts.
BACKGROUND
A 49-year-old white female with a history of acute pancreatitis that was complicated by pseudocysts presented with severe acute-onset abdominal pain of a few hours duration with associated vomiting. Physical examination showed a soft abdomen with mild diffuse tenderness and positive bowel sounds. Initial blood work revealed a drop in her hematocrit, and elevated but stable amylase and lipase levels. A CT scan of the abdomen revealed a splenic artery pseudoaneurysm with extravasation of contrast medium into an adjacent pseudocyst.


METHODS
Physical examination, blood analysis and a CT scan of the abdomen with contrast medium.


METHODS
Splenic artery pseudoaneurysm bleeding into an adjacent pseudocyst.


RESULTS
Embolization of the splenic artery across the neck of the pseudoaneurysm.
Aoun
Elie
E
University of Pittsburgh Medical Center, PA 15213, USA.
Papachristou
Georgios I
GI
Whitcomb
David
D
Ahmad
Iftikhar
I
Slivka
Adam
A
D000208:Acute Disease; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010195:Pancreatitis / Q000150:complications*; D013157:Splenic Artery