Treatment of Hemosuccus Pancreaticus by Bilateral Embolization of Gastric Arteries
Authors:
V. Janík 1; R. Pádr 2; R. Keil 3; R. Lischke 4; P. Pafko 4
Authors‘ workplace:
Radiodiagnostická klinika 3. LF UK a FNKV, Praha
1; Klinika zobrazovacích metod 2. LF UK a FNM, Praha
2; Interní klinika 2. LF UK a FNM, Praha
3; III. chirurgická klinika 1. LF UK a FNM, Praha
4
Published in:
Čas. Lék. čes. 2008; 147: 538-541
Category:
Case Report
Overview
Background.
Arosion of peripancreatic arteries in acute or chronic pancreatitis is a rare cause of bleeding into gastrointestinal tract – hemosuccus pancreaticus. Aim of the paper is to show the diagnostic and therapeutic options in this serious clinical stage.
Methods and Results.
We report a case of a patient with chronic pancreatitis who developed acute bleeding into the gastrointestinal tract due to the perforation of a pseudoaneurysm into pancreatic pseudocyst in the area of the pancreatic body. The diagnosis of hemosuccus pancreaticus, established by endoscopy and postcontrast CT examination, was confirmed by angiography. We stopped the acute bleeding from pseudoaneurysm, unusually well supplied by both gastric arteries by embolization of both arteries with metallic coils.
Conclusions.
Angiography plays an irreplaceable role in patients with hemosuccus pancreaticus.
Our case demonstrates bleeding from pseudoaneurysm supplied by both gastric arteries, whose embolization produced an immediate hemostasis and improvment the patient’s condition.
Key words:
hemosuccus pancreaticus, embolization, pancreatic pseudoaneurysm, pancreatic pseudocyst
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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