Two Difficultly Diagnosed Cases with Pseudoaneurysm in Chronic Pancreatitis Pseudoaneurysms Identified Inadvertently during Percutaneous Drainage and Hemosuccus Pancreaticus.
- Author:
Ji Hoon KIM
1
;
Hwi KONG
;
Nam Young JO
;
Dong Wook KOH
;
Yeon Ho PARK
;
Hyo Jung KIM
;
Gil Man JUNG
;
Jae Seon KIM
;
Young Tae BAK
;
Chang Hong LEE
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. kimjs@kumc.or.kr
- Publication Type:Case Report
- Keywords:
Pseudoaneurysm;
Pseudocyst;
Hemosuccus pancreaticus;
Chronic pancreatitis
- MeSH:
Aneurysm, False*;
Angiography;
Coinfection;
Diagnosis;
Drainage*;
Early Diagnosis;
Endoscopy;
Hematemesis;
Hemorrhage;
Humans;
Pancreatitis, Chronic*;
Tomography, X-Ray Computed;
Ultrasonography
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(4):263-268
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pseudoaneurysm is a rare life-threatening complication of chronic pancreatitis. It can be diagnosed by various imaging modalities including computerized tomography (CT), ultrasound, and angiography. Early diagnosis and radiologic or surgical treatment can promise better outcomes. However, pseudoaneurysm is not easily diagnosed. It can be misdiagnosed as a pseudocyst with secondary infection. Rarely, the correct diagnosis is made by an inadvertent trial with percutaneous drainage. The endoscopically identified hemosuccus pancreaticus is also a rare finding. Recently, we experienced two cases of pseudoaneurysm in patients with chronic pancreatitis. They did not have any evidence of bleeding in the initial endoscopy or evidence of pseudoaneurysms in the initial ultrasound and CT scan. In one case, the pseudoaneurysm was identified during a percutaneous drainage procedure, performed to diagnose and manage a cystic lesion which appeared to be an infected cyst. In the other case, the pseudoaneurysm was suspected after the hemosuccus pancreaticus was found during endoscopy performed due to recurrent hematemesis. Both cases were successfully treated with arterial embolization of the pseudoaneurysms.
