Management and outcome of bleeding pseudoaneurysm associated with chronic pancreatitis

Hsu, Jun‐Te; Yeh, Chun‐Nan; Hung, Chien-Fu; Chen, Han-Ming; Hwang, Tsann‐Long; Jan, Yi-Yin; Chen, Miin-Fu

doi:10.1186/1471-230x-6-3

Cited by 100 publications

(88 citation statements)

References 19 publications

(31 reference statements)

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“…Such major resections in a patient who is already haemodynamically unstable are fraught with mortality as high as 43% for pancreatic head resections and 16% for body and tail resections. 16 Surgical haemostasis and angioembolisation are always complimentary. In the background of a negative endovascular angiography, in a haemodynamically stable patient blind angioembolisation can be attempted based on CT angiography findings.…”

Section: Table 3 Results-endovascular Angioembolisationmentioning

confidence: 99%

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Swamigowda¹,

Casaba²,

Kumar³

et al. 2018

jebmh

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BACKGROUND Peripancreatic haemorrhage though rare, has lethal outcomes. This rare scenario is a consequence of pancreatic diseases per se as well as surgical complication of pancreatobiliary surgery. The aim of this study is to present the retrospective analysis of our experience on the common aetiologies, clinical presentations and various approaches for the management of Peripancreatic haemorrhage.

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Section: Table 3 Results-endovascular Angioembolisationmentioning

confidence: 99%

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Swamigowda¹,

Casaba²,

Kumar³

et al. 2018

jebmh

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“…(2,9,11,18) Gambiez et al (19) presented in his study that the majority of his patients were surgically treated and no signs of recurrent bleeding were present after definitive pancreatic surgery. He also concluded that angiographic methods might associate other severe complications such as necrosis of the duodenum or the development of spleen abscesses.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Splenic Artery Pseudoaneurysm with Digestive Tract Communication - Presentation of Two Cases

Eftimie¹,

Stanciulea²,

David³

et al. 2017

chr

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RezumatSpleno-pancreatectomia efectuată pentru tratamentul pseudoanevrismelor arterei splenice localizate la nivelul unui pseudochist pancreatic ce comunică cu tubul digestiv (stomac sau colon) reprezintă una din indicaţiile rare, puţine astfel de proceduri fiind descrise în literatură. Tratamentul pseudo-anevrismelor peripancreatice este complex şi dificil. Tratamentul chirurgical este curativ şi poate include rezecţia altor organe. Intervenţiile chirurgicale pot fi executate in condiţi de urgenţă, dacă pacientul prezintă sângerare cataclismică sau în condiţii elective în cazul în care diagnosticul se pune accidental sau dacă pacientul reuşeşte să depăşească episodul iniţial de sângerare. În această lucrare prezentăm două cazuri de pseudochist pancreatic ce asociază pseudoanevrism al arterei splenice şi fistula cu tubul digestiv (comunicare pseudochisto-colonică şi pseudochisto-gastrică). Amândoi pacienţii sunt bărbaţi, cunoscuţi cu pancreatită cronică şi pseudochiste pancreatice. Primul pacient a fost operat electiv după investigaţii amănunţite. Cealaltă intervenţie chirurgicală a fost efectuată în condiţii de urgenţă pentru a controla un episod de sângerare cataclismică. Concluzionăm ca abordul chirurgical rămâne principala metodă pentru tratamentul acestor cazuri. Poate fi folosit ca primă linie de tratament sau secundar abordului endovascular.Cuvinte cheie: splenopancreatectomie, pseudoanevrism, arteră splenică, rezecţie pancreatică

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“…The mechanisms of pseudoaneurysm formation in pancreatitis include inflammation with enzymatic digestion of the pancreatic or peripancreatic artery, visceral artery erosion by pseudocysts, and pseudocyst erosion into the bowel wall and intramural artery. 9) Most pseudoaneurysms commonly present with abdominal pain or gastrointestinal hemorrhage or as a pulsatile abdominal mass accompanied by bruit. 3,8) As in this case, obstructive jaundice is an extremely rare clinical symptom of hepatic artery pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

Hepatic Artery Pseudoaneurysm with Extrahepatic Biliary Obstruction

Shiraishi

Takahashi

Yamaguchi

et al. 2012

Annals of Vascular Diseases

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Hepatic artery pseudoaneurysms are a rare complication of chronic pancreatitis. However, giant pseudoaneurysms (80 mm) and complicated biliary obstructions are extremely rare. This article reports a 75 year-old man with chronic pancreatitis that presented as upper abdominal pain and obstructive jaundice. Computed tomography revealed a hepatic artery pseudoaneurysm measuring 80 × 72 × 70 mm. We performed aneurysm resection and common hepatic artery bypass, using a great saphenous vein graft in the patient. The postoperative course was uneventful, and he was discharged on the 10th postoperative day. However, on the 135th postoperative day, he died of massive hemorrhage into the peritoneal cavity.

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Management and outcome of bleeding pseudoaneurysm associated with chronic pancreatitis

Cited by 100 publications

References 19 publications

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Surgical Treatment of Splenic Artery Pseudoaneurysm with Digestive Tract Communication - Presentation of Two Cases

Hepatic Artery Pseudoaneurysm with Extrahepatic Biliary Obstruction

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