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
  • 122 Downloads

Abstract

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.

Keywords

Chronic pancreatitis Pancreatic pseudocyst pseudo-aneurysm Celiac plexus block Pediatric 

Notes

Conflict of Interest

None.

Role of Funding Source

None.

References

  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