Endoscopy-negative upper gastrointestinal bleeding in a patient with chronic pancreatitis

Forsmark, Christopher E.; Wilcox, C. Mel; Grendell, James H.

doi:10.1016/0016-5085(92)91818-o

Cited by 24 publications

(17 citation statements)

References 65 publications

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“…Pseudocyst with pseudoaneurysm is present in about 10% of patients with chronic pancreatitis 15 . Pseudoaneurysm is caused by enzymatic digestion of blood vessel 16,17 and/or local compression of the blood vessel wall by pseudocyst 18 . Because of its proximity, the splenic artery is the most frequently affected, about 40% 19 .…”

Section: Discussionmentioning

confidence: 99%

Splenic artery pseudoaneurysm as a complication of pancreatic pseudocyst

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Splenic artery pseudoaneurysm as a complication of pancreatic pseudocyst

et al. 2011

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“…Their natural history and the complication rate of PA in patients with pancreatitis are largely unknown. Although hemorrhage is the major and often fatal complication of PA, a majority of them do not bleed [13]. Spontaneous thrombosis of these lesions is rarely reported [14,15].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Embolization of Pseudoaneurysms Complicating Pancreatitis

Golzarian

Nicaise

Devière

et al. 1997

Cardiovasc Intervent Radiol

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“…However, gastrointestinal (GI) bleeding in the setting of a known pseudocyst can occur in three additional ways. Most commonly, hemorrhage occurs due to small vessel (capillary, venule or arteriole) bleeding from the pseudocyst wall [9]. With this intracystic bleeding, the blood remains within the pseudocyst [10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

Razik

May

Saibil

2016

JGLD

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Pancreatic pseudocysts and foci of walled-off necrosis (WON) are well-known complications of acute pancreatitis. We present a case of severe gallstone pancreatitis complicated by WON, fistulization to the bowel and gastrointestinal bleeding. Bleeding was localized to a pseudoaneurysm of the gastroduodenal artery within the WON using imaging and endoscopy. Angiography and image-guided therapy were then used to control bleeding with coil-embolization. To our knowledge, this is the first report of non-operative management of a patient with severe pancreatitis complicated by WON and a bleeding pseudoaneurysm with multiple communications to the hollow viscera. Therapeutic options are discussed and a thorough literature review is included. Abbreviations: EGD: esophagogastroduodenoscopy; ERCP: endoscopic retrograde cholangiopancreatography; GDA: gastroduodenal artery; GI: gastrointestinal; IEP: interstitial edematous pancreatitis; IPDA: inferior pancreaticoduodenal artery; WON: walled-off necrosis.

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Endoscopy-negative upper gastrointestinal bleeding in a patient with chronic pancreatitis

Cited by 24 publications

References 65 publications

Splenic artery pseudoaneurysm as a complication of pancreatic pseudocyst

Splenic artery pseudoaneurysm as a complication of pancreatic pseudocyst

Transcatheter Embolization of Pseudoaneurysms Complicating Pancreatitis

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

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