Year 2016 / Volume 108 / Number 9
Case Report
Pseudoaneurysm associated with complicated pancreatic pseudocysts

583-585

DOI: 10.17235/reed.2016.3855/2015

Laura Larrey Ruiz, Marisol Luján Sanchis, Laura Peño Muñoz, Carmen Barber Hueso, Rafa Cors Ferrando, Ana Belén Durá Ayet, Javier Sempere García-Argüelles,

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.
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References
1. Bender JS, Bouwman DL, Levison MA, et al. Pseudocysts and pseudoaneurysms: surgical strategy. Pancreas 1995; 10: 143-7.
2. Chiang KC, Chen TH, Hsu JT. Management of chronic pancreatitis complicated with a bleeding pseudoaneurysm. World J Gastroenterol 2014; 20: 16132-7. DOI: 10.3748/wjg.v20.i43.16132
3. Carr JA, Cho JS, Shepard AD, et al. Visceral pseudoaneurysms due to pancreatic pseudocysts: rare but lethal complications of pancreatitis. J Vasc Surg. 2000; 32: 722-30. DOI: 10.1067/mva.2000.110055
4. O'Connor OJ, Buckley JM, Maher MM. Imaging of the complications of acute pancreatitis. AJR Am J Roentgenol. 2011; 197: W375- 81. DOI:10.2214/AJR.10.4339
5. Bhasin DK, Rana SS, Sharma V, et al. Non-surgical management of pancreatic pseudocysts associated with arterial pseudoaneurysm. Pancreatology 2013; 13: 250-3. DOI: 10.1016/j.pan.2013.02.011
6. Mallick IH, Winslet MC. Vascular complications of pancreatitis. JOP 2004; 5: 328–37.
7. Balachandra S, Siriwardena AK. Systematic appraisal of the management of the major vascular complications of pancreatitis. Am J Surg 2005; 190: 489-95. DOI: 10.1016/j.amjsurg.2005.03.009
8. Hsu JT, Yeh CN, Hung CF, et al. Management and outcome of bleeding pseudoaneurysm associated with chronic pancreatitis. BMC Gastroenterology 2006; 6: 3. DOI: 10.1186/1471-230X-6-3
9. Balthazar EJ, Fisher LA. Hemorrhagic complications of pancreatitis: radiologic evaluation with emphasis on CT imaging. Pancreatology 2001; 1: 306-13. DOI: 10.1159/000055829
10. Fukatsu K, Ueda K, Maeda H, et al. A case of chronic pancreatitis in which endoscopic ultrasonography was effective in the diagnosis of a pseudoaneurysm. World J Gastrointest Endosc 2012; 4: 335-8. DOI: 10.4253/wjge.v4.i7.335
11. Vázquez J, Mansilla D, Civera JF, et al. Therapeutic options in pancreatic pseudoaneurysms. Rev Esp Enferm Dig 2012; 104: 502-3.
12. Udd M, Leppäniemi AK, Bidel S, et al. Treatment of bleeding pseudoaneurysms in patients with chronic pancreatitis. World J Surg 2007; 31: 504-10. DOI: 10.1007/s00268-006-0209-z
13. Azcano E, Álvarez CJ, Irurzun J, et al. Gastrointestinal bleeding due to pseudoaneurism with spontaneous pancreatic pseudocyst drainage. Rev Esp Enferm Dig 2008; 100; 179-87.
14. Pang TC, Maher R, Gananadha S, et al. Peripancreatic pseudoaneurysms: a management based classification system. Surg Endosc 2014; 28: 2027-38. DOI: 10.1007/s00464-014-3434-9
15. Chong CN, Lee KF, Wong KT, et al. Ruptured gastroduodenal artery pseudoaneurysm as the initial presentation of chronic pancreatitis. Am J Surg 2009; 197: e38-40. DOI: 10.1016/j.amjsurg.2008.05.014
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Larrey Ruiz L, Luján Sanchis M, Peño Muñoz L, Barber Hueso C, Cors Ferrando R, Durá Ayet A, et all. Pseudoaneurysm associated with complicated pancreatic pseudocysts. 3855/2015


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Publication history

Received: 18/05/2015

Accepted: 08/06/2015

Online First: 20/01/2016

Published: 06/09/2016

Article revision time: 19 days

Article Online First time: 247 days

Article editing time: 477 days


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