The result of surgical treatment of 49 infected pseudoaneurysm in drug addicts was evaluated during 6 years (1992-1998). Excision and ligation was performed in 42 cases (85.7%), postoperative distal necrosis occurred in two patients (4.2%). Seven others (14.3%) underwent revascularization by technique MATAS, even with the presence of local sepsis and all most superficial venous thrombosis. Excision and ligation is safe and is the treatment of choice for infected arterial pseudoaneurysm in drug addicts, however ligation combined lumbar sympathectomy will decrease the frequency of distal necrosis.
Pseudoaneurysm ; Drug Addiction

Pancreatic pseudoaneurysms are possible complications of chronic pancreatitis. These may present as hemosuccus pancreaticus, a rare cause of upper gastrointestinal tract bleeding where a pseudoaneurysm erodes into an adjacent pseudocyst or pancreatic duct, manifesting as bleeding through the pancreatic duct into the duodenal papilla. We report a case of a 32-year-old male with a history of chronic pancreatitis presenting as intermittent upper gastrointestinal tract bleeding secondary to hemosuccus pancreaticus from a pancreatic pseudoaneurysm. The patient underwent multiple sessions of endovascular embolization, which successfully controlled the bleeding despite some failed attempts; thus, a potentially morbid last-resort surgery was avoided.
pseudoaneurysm ; chronic pancreatitis

No abstract available.
Aneurysm, False*

No abstract available.
Aneurysm, False*

No abstract available.
Aneurysm, False

No abstract available.
Aneurysm, False*

Background: This is a single institutional review of aortoiliac pseudoaneurysm of various aetiologies managed with endovascular stent graft repair. Methods: From 2009 to 2014, 16 patients had endovascular stent graft inserted for pseudoaneurysm of the thoracic aorta, abdominal aorta and iliac arteries in Hospital Kuala Lumpur. Co-morbidity, causative agents, in-hospital mortality, complications and outcomes were examined. Results: The average age was 59.1 years (range 36-77). Comorbidities include hypertension, diabetes mellitus, tuberculosis, prior infection and previous open aneurysmal repair. All patients had raised WBC (>10.0x109 /L), ESR or Creactive protein on admission while 50% of patients had fever. Blood cultures were positive in 4 patients. All patients were given antibiotics. Only one in-hospital mortality was noted at day-47 post-procedure. Two patients died of aortoenteric fistula at district hospital eight and 16 months later. One patient died of chronic graft infection two years later. One died of unrelated cause. One patient developed type IB endoleak from internal iliac artery two years later and surgical ligation was performed. The average follow up was 15.8 months. Conclusion: Endovascular stent graft repair for pseudoaneurysm is a viable option compared to open surgery. It is less invasive, has lower operative morbidity and fair outcomes. However, some cases may be due to inflammatory aortitis instead of infective pseudoaneurysm, given the frequent culture-negative results. In order to obtain high yield of bacteria culture for infected pseudoaneurysm, open repair with tissue culture is still the main mode of treatment especially for patients with low comorbidity.
Aneurysm, False

No abstract available.
Aneurysm, False*

No abstract available.
Aneurysm, False* ; Tachycardia, Ventricular*

No abstract available.
Aneurysm, False* ; Aorta*