Chronic Pancreatitis Associated with Liver Infarction and Inferior Pancreaticoduodenal Artery Pseudoaneurysm.
10.15279/kpba.2017.22.1.35
- Author:
Yeon Oh JEONG
1
;
Jae Gon LEE
Author Information
1. Department of Internal Medicine, Bando Hospital, Jinju, Korea.
- Publication Type:Case Report
- Keywords:
Liver;
Infarction;
Pancreatitis;
Portal vein;
Thrombosis
- MeSH:
Adult;
Alcoholism;
Amylases;
Aneurysm, False*;
Angiography;
Arteries*;
Embolization, Therapeutic;
Female;
Follow-Up Studies;
Hemorrhage;
Heparin;
Hepatic Artery;
Humans;
Infarction*;
Lipase;
Liver*;
Pancreatitis;
Pancreatitis, Chronic*;
Portal Vein;
Thrombosis;
Tomography, X-Ray Computed;
Venous Thrombosis
- From:Korean Journal of Pancreas and Biliary Tract
2017;22(1):35-38
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Liver infarction is rare because of dual blood supply of the liver with hepatic artery and portal vein. And its occurrence as a complication of chronic pancreatitis is rarer. We present a case of chronic pancreatitis complicated by liver infarction and inferior pancreaticoduodenal artery pseudoaneurysm. A 31-year-old female with alcoholism presented with severe acute epigastric pain. Serum amylase and lipase were 203 IU/L and 78 IU/L, respectively. Initial computed tomography (CT) scan showed peripancreatic infiltration, fluid collection, right portal vein thrombosis, and a large wedge-shaped low attenuation in the right hepatic lobe. The patient has been treated with heparin. Follow-up CT scan done after 4 days of heparin treatment demonstrated a pseudocyst with internal hemorrhage and a pseudoaneurysm. Angiography revealed a pseudoaneurysm in inferior pancreaticoduodenal artery. Coil embolization of the artery was done. The patient has been discharged without complication. Follow-up CT scan showed resolution of liver infarction, portal vein thrombosis and pseudoaneurysm.
