[Pseudoaneurysm of the hepatic artery: rare complication of chronic pancreatitis].
Bleeding from a pseudoaneurysm is a rare complication of chronic pancreatitis. We present two cases of ruptured pseudoaneurysms of the hepatic arteries. The first case involved a pancreatic pseudocyst that ruptured in the duodenum and the second resulted in an intrahepatic hematoma that compressed the bile tract causing secondary hemobilia. Angiographic embolization was the primary treatment in both cases, with surgery for the first patient and later radiological drainage in the second. The hemorrhage was controlled in both cases despite the severe prognosis and high mortality in these cases.
Marion-Audibert
A-M
AM
Service d'hepatogastroenterologie, hôpital de la Croix-Rousse, 103, Grande rue de la Croix-Rousse, 69317 Lyon cedex 04, France.
Mesnil
A
A
Guillet
M
M
Rode
A
A
Mabrut
J-Y
JY
Garbit
V
V
Lepoutre-Dujardin
E
E
Pere-Verge
D
D
Baulieux
J
J
Souquet
J-C
JC
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology*; D017542:Aneurysm, Ruptured / Q000209:etiology; D004381:Duodenal Ulcer / Q000209:etiology; D004621:Embolization, Therapeutic; D006406:Hematoma / Q000209:etiology; D006431:Hemobilia / Q000209:etiology; D006499:Hepatic Artery / Q000473:pathology*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications; D016577:Pancreaticoduodenectomy; D050500:Pancreatitis, Chronic / Q000150:complications*; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology