title: Pseudoaneurysm associated with complicated pancreatic pseudocysts.
abstract: A pseudoaneurysm associated with a pseudocyst is a serious and unusual complication of chronic pancreatitis. Its treatment is complex due to its elevated mortality and the need for multidisciplinary management. Initial measures consist in locating the hemorrhage through computerized dynamic tomography and arteriography. The treatment of choice is controversial due to the lack of controlled studies. For managing hemorrhages in stable patients, the most accepted initial measure currently is arterial embolization. In the event of failure of the same, hemodynamic instability or the impossibility of drainage of the pseudocyst, surgery is the subsequent therapeutic option.
authors.affiliation: Medicina Digestiva, Hospital General Universitario de Valencia, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Larrey Ruiz
authors.affiliation: Aparato Digestivo, Hospital General Universitario de Valencia, España.
authors.forename: Marisol
authors.initials: M
authors.lastname: Luján Sanchis
authors.affiliation: Aparato Digestivo, Consorcio Hospital General de Valencia, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Peño Muñoz
authors.affiliation: Radiodiagnóstico, Hospital General Universitario de Valencia, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Barber Hueso
authors.affiliation: Aparato Digestivo, Hospital General Universitario de Valencia, España.
authors.forename: Rafa
authors.initials: R
authors.lastname: Cors Ferrando
authors.affiliation: Patología digestiva, Consorcio Hospital General Universitario de Valenc, España.
authors.forename: Ana Belén
authors.initials: AB
authors.lastname: Durá Ayet
authors.affiliation: Patología digestiva, Consorcio Hospital General Universitario de Valenc, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Sempere García-Argüelles
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002758:Cholangiography; D004621:Embolization, Therapeutic; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D050500:Pancreatitis, Chronic / Q000139:chemically induced / Q000150:complications / Q000000981:diagnostic imaging; D016896:Treatment Outcome