Gastric bleeding from a penetrating pancreatic pseudocyst with pseudoaneurysm of the splenic artery.
The successful management of gastric bleeding from a pseudocyst with a pseudoaneurysm of the splenic artery is reported here. A 62-year-old male patient was referred to our hospital with a complaint of hematomesis. On a computed tomography and an abdominal angiography, it was evident that he was actively bleeding from a splenic pseudoaneurysm caused by a pancreatic pseudocyst. A transcathetheral arterial embolization (TAE) was performed on the splenic pseudoaneurysm to control bleeding. After the TAE, we resected the pancreatic pseudocyst by distal pancreatectomy with partial gastrectomy. Gastrointestinal bleeding from a pseudoaneurysm caused by a pancreatic pseudocyst is a rare, but sometimes lethal, complication. As only conservative therapy or TAE often results in lethal re-bleeding, we propose to perform elective surgery after TAE.
Araki
Ken-ichiro
K
Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi-shi, Gunma 371-8511, Japan. karaki@showa.gunma-u.ac.jp
Shimura
Tatsuo
T
Watanabe
Akira
A
Kobayashi
Tsutomu
T
Suzuki
Hideki
H
Suehiro
Taketoshi
T
Kuwano
Hiroyuki
H
D017541:Aneurysm, False / Q000150:complications*; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000601:surgery; D013157:Splenic Artery