1. Splenic Artery Pseudoaneurysm Causing Massive Hematemesis 10 Years After Necrotizing Pancreatitis.
- Author
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Chen R, Pande G, and Johnson MA
- Subjects
- Aneurysm, False diagnostic imaging, Aneurysm, False therapy, Debridement, Embolization, Therapeutic, Humans, Male, Middle Aged, Pancreatic Pseudocyst diagnostic imaging, Pancreatic Pseudocyst surgery, Pancreatitis, Alcoholic diagnostic imaging, Pancreatitis, Alcoholic surgery, Time Factors, Treatment Outcome, Aneurysm, False etiology, Drainage adverse effects, Enterostomy adverse effects, Hematemesis etiology, Splenic Artery diagnostic imaging
- Abstract
We report a case of a 54-year-old male presenting to a regional hospital with severe hematemesis and hemodynamic instability. His medical history was significant for a previous episode of alcoholic necrotizing pancreatitis and pseudocyst, requiring cystoenterostomy drainage and debridement 10 years prior. He underwent multiple gastroscopies and one emergency laparotomy which failed to definitively treat the bleeding. A splenic artery pseudoaneurysm was diagnosed with computed tomography angiography, adjacent to the previous cystoenterostomy site. The patient was transferred to a major tertiary center with access to interventional radiology and underwent successful embolization of the pseudoaneurysm.
- Published
- 2020
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