Peripancreatic arterial pseudoaneurysm in the background of chronic pancreatitis: clinical profile, management, and outcome

Dhali, Arkadeep; Ray, Sukanta; Sarkar, Avik; Khamrui, Sujan; Das, Somak; Mandal, Tuhin Subhra; Biswas, Dijendra; Dhali, Gopal Krishna

doi:10.1007/s13304-021-01208-y

Cited by 7 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The site of disruption of the pancreatic duct should be incorporated in the anastomosis. Pseudocyst eradication happens with just LPJ which corrects the duct disorder [ 21 , 26 ]. For patients having nondilated ducts, the site of the fistula within the gland becomes important.…”

Section: Discussionmentioning

confidence: 99%

Outcome of surgery for chronic pancreatitis related pancreatic ascites and pancreatic pleural effusion

Dhali

Ray

Mandal

et al. 2022

Annals of Medicine &Amp; Surgery

Self Cite

View full text Add to dashboard Cite

Background An internal pancreatic fistula involves an abnormality in the way that the pancreas communicates with organs and spaces within the body. This is usually due to a disrupted pancreatic duct or psuedocyst leakage (Ascitic or pleural fluid amylase level >1000 S units/dl and fluid protein level >3 g/dl). The study aims to report our experience with surgery for chronic pancreatitis-related pancreatic ascites and pancreatic pleural effusions. Methods All the patients, who underwent surgical intervention for pancreatic ascites and pancreatic pleural effusion between August 2007 and December 2020 in the Department of Surgical gastroenterology, Institute of Postgraduate Medical Education and Research, Kolkata, India were retrospectively reviewed. Results Of the total 14 patients, 10 (71.4%) were men with a median age of 40 (4–49) years. The median interval between onset of symptoms of CP and diagnosis of IPF was 27 (3–60) months. All patients had a history of chronic abdominal pain and 5 (35.7%) had a prior history of hospitalization for pain. Eleven patients (78.5%) presented with abdominal distension and 3 (21.4%) patients had respiratory distress. Six (42.8%) patients had undergone endotherapy before surgery. Contrast-enhanced computed tomography detected pancreatic pseudocyst in 10 (71.42%) patients. The most commonly performed operation was lateral pancreaticojejunostomy (n = 11, 78.5%). Seven postoperative complications developed in 4 (28.5%) patients. After a median follow-up of 60 (6–86) months, no patient developed recurrence of pancreatic ascites or pleural effusion. Conclusion In the experienced hand, surgery can be performed with acceptable perioperative morbidity and mortality and long-term satisfactory outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Outcome of surgery for chronic pancreatitis related pancreatic ascites and pancreatic pleural effusion

Dhali

Ray

Mandal

et al. 2022

Annals of Medicine &Amp; Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…An ultrasound study is helpful for confirming a hematoma, but additional information can often be obtained by CT angiography. Mesenteric angiography confirms the presence of an aneurysm and provides an opportunity for transarterial embolization 1,4 . If this fails, open surgery becomes the salvage option.…”

Section: Figurementioning

confidence: 99%

“…Mesenteric angiography confirms the presence of an aneurysm and provides an opportunity for transarterial embolization. 1 , 4 If this fails, open surgery becomes the salvage option.…”

mentioning

confidence: 99%

Acute pancreatitis complicated with peripancreatic pseudoaneurysm and subsequent intra‐abdominal hematoma

Chiang

Chen

et al. 2023

JGH Open

View full text Add to dashboard Cite

“…The most commonly involved artery is splenic artery, followed by the gastroduodenal artery, while hepatic artery is less common. [ 1 ] Little is known about clinical manifestation and therapeutic strategy for hepatic artery pseudoaneurysm (HAP) in CP, and so far there are no literature reviews on this rare complication. Hence, we report a case of CP that developed HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, which was successfully treated by transarterial embolization, and a literature review is also presented.…”

Section: Introductionmentioning

confidence: 99%

Hepatic artery pseudoaneurysm caused by chronic pancreatitis: Case report and literature review

Jia

Zhu

et al. 2023

Medicine

View full text Add to dashboard Cite

Rationale: Visceral artery pseudoaneurysm is a rare complication of chronic pancreatitis (CP), all pancreatic or peripancreatic arteries have been reported to be involved, while hepatic artery is less common. Patient concerns: This case report illustrated a 42-year-old man with CP who developed right hepatic artery pseudoaneurysm (HAP), and finally he was treated with intravascular embolization. Diagnoses: The patient suffered from HAP due to acute attack of CP. Interventions: The pseudoaneurysm located in a fine branch of right hepatic artery was embolized. Outcomes: The HAP of the patient was cured. He had no recurrent bloody stool or abdominal pain. The symptoms gradually relieved. Conclusion: Herein, we report a patient with CP who developed right HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, and a literature review is also presented. HAP caused by CP is a rare disease in the clinic, but rupture of pseudoaneurysm is fatal. Careful evaluation, early detection, and prompt treatment should be performed when the patient is admitted and followed up.

show abstract

Peripancreatic arterial pseudoaneurysm in the background of chronic pancreatitis: clinical profile, management, and outcome

Cited by 7 publications

References 22 publications

Outcome of surgery for chronic pancreatitis related pancreatic ascites and pancreatic pleural effusion

Outcome of surgery for chronic pancreatitis related pancreatic ascites and pancreatic pleural effusion

Acute pancreatitis complicated with peripancreatic pseudoaneurysm and subsequent intra‐abdominal hematoma

Hepatic artery pseudoaneurysm caused by chronic pancreatitis: Case report and literature review

Contact Info

Product

Resources

About