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Pseudoaneurysms and bleeding pseudocysts in chronic pancreatitis: Radiological findings and contribution to diagnosis in 8 cases

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Abstract

Pseudoaneurysms and bleeding pseudocysts are rare but life-threatening complications of chronic pancreatitis. This report summarizes our experience in 8 cases collected from among 250 patients admitted for chronic pancreatitis. We describe the radiological findings of nine vascular lesions and especially emphasize the contribution of recent radiological imaging, ultrasound and computed tomography scanning in establishing the diagnosis of vascular complication. We also report a case of successful embolization of a splenic pseudoaneurysm that ruptured into the colon.

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References

  1. White AF, Baum S, Buranasiri S: Aneurysms secondary to pancreatitis.AJR 127:393–396, 1976

    Google Scholar 

  2. Kane MG, Krejs GJ: Pancreatic pseudocyst.Adv Intern Med 29:271–300, 1984

    Google Scholar 

  3. Bretagne JF, Heresbach D, Le Jean-Colin I, Darnault P, Heautot JF, Jouanolle H, Loréal O, Arsène D, Gastard J: Splenic pseudoaneurysm rupture into the colon: colonoscopy before and after successful arterial embolization.Surg Endosc 1:229–231, 1987

    Google Scholar 

  4. Bivins BA, Suchatello CR, Chuang VP, Brady P: Hemosuccus pancreaticus.Arch Surg 113:751–753, 1978

    Google Scholar 

  5. Harris RD, Anderson JE, Coel MN: Aneurysms of the small pancreatic arteries: a cause of upper abdominal pain and intestinal bleeding.Radiology 115:17–20, 1975

    Google Scholar 

  6. Siegelman SS, Copeland BE, Saba GP, Cameron JL, Sanders RC, Zerbrouni EA: CT of fluid collections associated with pancreatitis.AJR 134:1121–1132, 1980

    Google Scholar 

  7. Stabile BE, Wilson SE, Debas HT: Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis.Arch Surg 118:45–51, 1983

    Google Scholar 

  8. Bretholz A, LÄmmli J, Corrodi P, Knoblauch M: Ruptured pancreatic pseudocysts: diagnosis by endoscopy.Endoscopy 10:19–23, 1978

    Google Scholar 

  9. Le Neel JC, Leborgne J, Heloury Y, Deret Ch, Lavignolle A, Malvy P: Hemorrhage from Wirsung's canal during chronic pancreatitis.J Chir (Paris) 121:649–653, 1984

    Google Scholar 

  10. Eckhauser FE, Stanley JC, Zelenock GB, Borlaza GS, Freier DT, Lindenauer SM: Gastroduodenal and pancreaticoduodenal artery aneurysms: a complication of pancreatitis causing spontaneous gastrointestinal hemorrhage.Surgery 88:335–344, 1980

    Google Scholar 

  11. Levin DC, Eisenberg H, Wilson R: Arteriography in the evaluation of pancreatic pseudocysts.AJR 129:243–248, 1977

    Google Scholar 

  12. Burke JW, Erickson SJ, Kellum CD, Tegmeyer CJ, Williamson BRJ, Hansen MF: Pseudoaneurysms complicating pancreatitis: detection by CT.Radiology 161:447–450, 1986

    Google Scholar 

  13. Derosier Ch, Champault G, Pharaboz Ch, Sordet D, Legall R: Hemorrhagic pancreatic pseudocyst diagnosed by computed tomography.J Radiol 65:585–588, 1984

    Google Scholar 

  14. Hashimoto BE, Laing FC, Jeffrey RB, Federle MP: Hemorrhagic pancreatic fluid collections examined by ultrasound.Radiology 150:803–808, 1984

    Google Scholar 

  15. Hofer BO, Ryan JA, Freeny PC: Surgical significance of vascular changes in chronic pancreatitis.Surg Gynecol Obstet 165:499–505, 1987

    Google Scholar 

  16. Nino-Murcia M, Kurtz A, Brennan RE, Shaw E, Peiken SR, Weiss SM: CT diagnosis of a splenic artery aneurysm: a complication of chronic pancreatitis and pseudocyst formation.J Comput Assist Tomogr 7:527–529, 1983

    Google Scholar 

  17. Reck A, Dalcher G, Zeyer B, Bietiger M, Poivre R, Eisenscher A, Bader R, Notter A, Weisse D: False aneurysm of the superior mesenteric artery complicating pancreatitis.J Radiol 68:639–642, 1987

    Google Scholar 

  18. Jhaveri HS, Gerlock AJ, Smith CN, Goucharenko V: Value of arteriography in the evaluation of a sonolucent pancreatic mass.Cardiovasc Radiol 2:55–56, 1979

    Google Scholar 

  19. Cadet J, Feldhamer L: Combination of ultrasonography and computed tomography in the diagnosis of hemorrhagic pseudocyst of the pancreas.J Clin Ultrasound 13:591–593, 1985

    Google Scholar 

  20. Derchi LE, Biggi E, Cicid GR, Bertoglio C, Neumaier CE: Aneurysms of the splenic artery: noninvasive diagnosis by pulsed Doppler sonography.J Ultrasound Med 3:41–44, 1984

    Google Scholar 

  21. Gooding GA: Ultrasound of a superior mesenteric aneurysm secondary to pancreatitis: a plea for real-time ultrasound of sonolucent masses in pancreatitis.J Clin Ultrasound 9:255–256, 1981

    Google Scholar 

  22. Falkoff GE, Taylor KJW, Morse S: Hepatic artery pseudoaneurysm: diagnosis with real-time and pulsed Doppler US.Radiology 158:55–56, 1986

    Google Scholar 

  23. Huizinga WKJ, Kalideen JM, Bryer JV, Bell PSH, Baker LW: Control of major hemorrhage associated with pancreatic pseudocysts by transcatheter arterial embolization.Br J Surg 71:133–136, 1984

    Google Scholar 

  24. Mandel SR, Jacques PF, Mauro MA, Sanofsky S: Non-operative management of peripancreatic arterial aneurysms: a 10-year experience.Ann Surg 205:126–128, 1987

    Google Scholar 

  25. Steckman ML, Dooley MC, Jacques PF, Powell DW: Major gastrointestinal hemorrhage from peripancreatic blood vessels in pancreatitis. Treatment by embolotherapy.Dig Dis Sci 29:486–497, 1984

    Google Scholar 

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Authors and Affiliations

  1. Department of Hepato-Gastroenterology, CHU Pontchaillou, 35033, Rennes, France

    Jean-FranÇois Bretagne M.D., Denis Heresbach, Jean-Luc Raoul, Michel Gosselin & Joseph Gastard

  2. Department of Radiology, CHU Pontchaillou, Rennes, France

    Pierre Darnault & Michel Carsin

Authors
  1. Jean-FranÇois Bretagne M.D.
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  2. Denis Heresbach
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  3. Pierre Darnault
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  4. Jean-Luc Raoul
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  5. Michel Gosselin
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  6. Michel Carsin
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  7. Joseph Gastard
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Bretagne, JF., Heresbach, D., Darnault, P. et al. Pseudoaneurysms and bleeding pseudocysts in chronic pancreatitis: Radiological findings and contribution to diagnosis in 8 cases. Gastrointest Radiol 15, 9–16 (1990). https://doi.org/10.1007/BF01888725

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  • DOI: https://doi.org/10.1007/BF01888725

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