title: Inferior phrenic artery pseudoaneurysm complicating drug-induced acute pancreatitis.
abstract: Inferior phrenic artery (IPA) pseudoaneurysm is an extremely rare complication of chronic pancreatitis with only three cases reported in the literature so far. It is a serious condition that can be life-threatening if not diagnosed promptly. Recent advances in endovascular interventions made angiography with embolisation the modality of choice for diagnosis and treatment. We presented the first report of a case of ruptured IPA pseudoaneurysm complicating a drug-induced acute pancreatitis that was successfully treated by transcatheter arterial embolisation. Despite its rarity, rupture of pseudoaneurysm due to drug-induced pancreatitis should be suspected and included in the differential diagnosis when associated with haemodynamic instability.
authors.affiliation: Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Jean F
authors.initials: JF
authors.lastname: Salem
authors.forename: Ali
authors.initials: A
authors.lastname: Haydar
authors.forename: Ali
authors.initials: A
authors.lastname: Hallal
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis* / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000628:therapy; D015901:Angiography, Digital Subtraction; D001215:Asparaginase / Q000009:adverse effects* / Q000627:therapeutic use; D003964:Diaphragm / Q000098:blood supply*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D016399:Lymphoma, T-Cell / Q000188:drug therapy*; D019283:Pancreatitis, Acute Necrotizing / Q000139:chemically induced* / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D001215:Asparaginase