title: Gastrointestinal bleeding due to an erosion of the superior mesenteric artery: an exceptional fatal complication of pancreatic pseudocyst.
abstract: The erosion of a pancreatic pseudocyst into an adjacent artery is a rare and highly lethal complication of pancreatitis with reported death rates of 12% to 40%. The majority of patients had bleeding from the splenic artery, the gastroduodenal artery and the anterior pacreaticoduodenal artery. Exceptionally, some cases with bleeding from the superior mesenteric artery, or hepatic artery were reported. We report the case of a 50 year old patient having a cataclysmic upper gastrointestinal bleeding due to an erosion of the superior mesenteric artery by a pancreatic pseudocyst, and discuss contemporary methods in diagnosis and management of the condition.
authors.affiliation: Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia.
authors.forename: Mahdi
authors.initials: M
authors.lastname: Bouassida
authors.forename: Mechaal
authors.initials: M
authors.lastname: Benali
authors.forename: Hédi
authors.initials: H
authors.lastname: Charrada
authors.forename: Mossaab
authors.initials: M
authors.lastname: Ghannouchi
authors.forename: Fathi
authors.initials: F
authors.lastname: Chebbi
authors.forename: Mohamed Mongi
authors.initials: MM
authors.lastname: Mighri
authors.forename: Mohamed Msaddak
authors.initials: MM
authors.lastname: Azzouz
authors.forename: Hassen
authors.initials: H
authors.lastname: Touinsi
authors.forename: Sadok
authors.initials: S
authors.lastname: Sassi
mesh_terms: D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications*; D014652:Vascular Diseases / Q000150:complications*