The Indian Journal of Pediatrics

, Volume 79, Issue 7, pp 952–954 | Cite as

Chronic Pancreatitis Presenting with Pseudocyst of Pancreas and Pseudo-aneurysm of Hepatic Artery

  • Krishnaveni Janarthanan
  • Devanand Balalakshmoji
  • Harshavardhan T. Sanathkumar
  • Prasanna Karthik Suthakaran
Clinical Brief


A 2-y-old girl presented with recurrent abdominal pain and hematemesis. The patient was diagnosed to have chronic calcific pancreatitis complicated by pseudocyst of the head of pancreas and pseudo-aneurysm of the common hepatic artery. Diagnosis was made using abdominal ultrasonography and CT angiography. The rarity of the presentation of pseudocyst with pseudo-aneurysm formation in a pediatric patient is noted. The pseudo-aneurysm was treated by embolization of the artery and the pain being refractory to analgesics was managed by celiac plexus blockade.


Chronic pancreatitis Pancreatic pseudocyst pseudo-aneurysm Celiac plexus block Pediatric 


Conflict of Interest


Role of Funding Source



  1. 1.
    Berger H, Matsuno S, Cameron JL. Diseases of the Pancreas—current surgical therapy. Berlin: Springer; 2008.Google Scholar
  2. 2.
    Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Nelson textbook of pediatrics. Vol. 2. 18th ed. Philadelphia: Elsevier; 2007.Google Scholar
  3. 3.
    Mohan N. Childhood pancreatitis. In: Bavdekar A, Matthai J, Sathiyasekaran M, Kumar YS, eds. IAP speciality series in pediatric gastroenterology. New Delhi: Jaypee Brothers Medical Publishers; 2008. pp. 271–96.Google Scholar
  4. 4.
    Baillie J. Pancreatic pseudocysts (Part I). Gastrointest Endosc. 2004;59:873–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Baillie J. Pancreatic pseudocysts (Part II). Gastrointest Endosc. 2004;60:105–13.PubMedCrossRefGoogle Scholar
  6. 6.
    Toyoki Y, Hakamada K, Narumi S, Nara M, Ishido K, Sasaki M. Hemosuccus pancreaticus: problems and pitfalls in diagnosis and treatment. World J Gastroenterol. 2008;14:2776–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Novacic K, Vidjak V, Suknaic S, Skopljanac A. Embolization of a large pancreatic pseudoaneurysm converted from pseudocyst (hemorrhagic pseudocyst). J Pancreas. 2008;9:317–21.Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2012

Authors and Affiliations

  • Krishnaveni Janarthanan
    • 1
  • Devanand Balalakshmoji
    • 2
  • Harshavardhan T. Sanathkumar
    • 1
  • Prasanna Karthik Suthakaran
    • 1
  1. 1.Department of Medical GastroenterologyPSG Institute of Medical Sciences and ResearchCoimbatoreIndia
  2. 2.Department of RadiologyPSG Institute of Medical Sciences and ResearchCoimbatoreIndia

Personalised recommendations