Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis

Abstract

Correspondencewith 95 per cent confidence limits of 1.78 and 10.48 and has a highly significant association with the presence of peritonitis, P < 0.001,We have recently published' data on 1204 consecutive patients admitted to hospital with right lower quadrant pain, and identified rebound tenderness as an important predictor of acute appendicitis with an odds ratio of 3.36 and P < 0.001. Of importance, in a multiple

Pancreatitis-associated pseudoaneurysm of the splenic artery presenting as lower gastrointestinal bleeding: treatment with transcatheter embolisation

“…In addition, pseudoaneurysms involving the peripancreatic arteries can be traumatic, iatrogenic or secondary to peptic ulcer disease 1. The splenic artery, because of its contiguity with the pancreas, is the most common artery involved, followed in decreasing order of frequency by gastroduodenal, pancreaticoduodenal, hepatic and left gastric arteries 2 3. Two mechanisms have been described for pancreatitis-associated pseudoaneurysm formation, which may overlap and coexist 4.…”

Haemosuccus pancreaticus: diagnostic and therapeutic challenges

“…In six of our patients, we were able to avoid major resections. Most surgical series have documented success rates of 70–85%, with mortality rates of 20–25% and rebleeding rates of 0–5% 4,24,27–29 …”

Haemosuccus Pancreaticus in Chronic Pancreatitis — Diagnosis and Treatment

“…Some authors documented that recurrent bleeding rates were about 30% [12]. Thus, arterial embolization is recommended as the initial therapeutic method, either to stabilize the patient to perform elective surgery or as a definitive treatment where possible [31,32].…”

“…However, increased mortality and morbidity have been reported, and consequently angioembolization alone has been proposed as the recommended treatment modality [25,26,31,32]. Bleeding from the pancreaticoduodenal artery has a higher mortality rate than bleeding from the splenic or gastroduodenal artery [31,32]. Most patients suffer from chronic pancreatitis so the potential perioperative complications and postoperative pancreatic insufficiency should be noted.…”

“…Most patients suffer from chronic pancreatitis so the potential perioperative complications and postoperative pancreatic insufficiency should be noted. Most surgical series have documented success rates of 70% to 85% with mortality rates of 20% to 25% and rebleeding rates of 0% to 5% [31][32][33][34]. The treatment options are summarized in Table 4.…”