Clinical Features of Pseudoaneurysms Complicating Pancreatitis: Single Center Experience and Review of Korean Literature.
- Author:
Ji Hyun KIM
1
;
Jae Seon KIM
;
Chang Duck KIM
;
Hong Sik LEE
;
Young Jig CHO
;
Jong Sup LEE
;
Do Won CHOI
;
Woo Sik HAN
;
Youn Ho KIM
;
Jong Eun YEON
;
Jong Jae PARK
;
Kwan Soo BYUN
;
Young Tae BAK
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Paik Hospital, Busan, Seoul, Korea.
- Publication Type:Case Reports ; English Abstract ; Review
- Keywords:
Pseudoaneurysm;
Pancreatitis;
Embolization, Arterial
- MeSH:
Adult;
Aged;
Aneurysm, False/*diagnosis/etiology/ultrasonography;
Arteries/injuries;
Demography;
Embolization, Therapeutic;
Hemorrhage/etiology/surgery;
Humans;
Korea;
Male;
Middle Aged;
Pancreatic Pseudocyst/etiology/surgery;
Pancreatitis, Alcoholic/*complications/pathology;
Retrospective Studies;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2007;50(2):108-115
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Pseudoaneurysm is a life-threatening complication of chronic or acute pancreatitis. This study was undertaken to evaluate the clinical features of pseudoaneurysm complicating pancreatitis. METHODS: We reviewed the medical records of 7 patients diagnosed as pseudoaneurysms with chronic pancreatitis in Korea University Guro and Anam Hospital from January 1995 to March 2006 and analyzed their demographics, clinical courses and outcomes. RESULTS: All patients were men and mean age was 54.6 years (range, 43-67 years). All the cases occurred in the setting of chronic alcoholic pancreatitis complicated by pseudocyst. Abdominal pain was the unique initial clinical symptom in 5 cases, hematemesis in 1 case, and simultaneous abdominal pain with hematemesis in 1 case. Bleeding into pseudocyst developed in 5 cases, flowing into duodenum through pancreatic duct in 1 case and rupture into the descending colon in 1 case. Mean duration between onset of symptom and diagnosis of pseudoaneurysm was 7.8 days (range, 1-23 days). Six cases were diagnosed by abdominal computed tomography disclosing characteristic finding of focal high density area in the pseudocyst. Pulsed doppler abdominal sonography was performed before computed tomography in 3 cases and results were negative in 2 cases. Transcatheter arterial embolizations were initially performed in 6 cases, and there was no recurrent bleeding except one case of splenic infarction. Distal pancreatectomy was initially performed in 1 case. CONCLUSIONS: Pseudoaneurysms complicating chronic pancreatitis shows various clinical features. Transcatheter arterial embolization can be recommended as a primary therapeutic modality.
