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Portal vein erosion and acute abdominal hemorrhage as a complication of acute pancreatitis

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Abstract

The case of a 35-year-old male with portal vein erosion and acute life-threatening abdominal hemorrhage as a complication of acute pancreatitis is reported. Erosion of arterial walls is the most common complication of pancreatitis and pancreatic pseudocysts, and erosion of the portal vein leading to a fistula between the pancreas and the portal vein is very rare. Diagnosis was made by multislice spiral computed tomography, and nonsurgical treatment was elected, leading to complete recoverage.

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Authors and Affiliations

  1. Department of Clinical Radiology, Mannheim University Hospital, University of Heidelberg, Theodor Kutzer Ufer 1-3, 68167 Mannheim, Germany

    H. S. Ko,  M. Anders,  S. Diehl &  C. Düber

  2. Department of Surgery, Mannheim University Hospital, University of Heidelberg, Theodor Kutzer Ufer 1-3, 68167 Mannheim, Germany

    E. Dominguez

  3. II Medizinische Klinik, Mannheim University Hospital, University of Heidelberg, Theodor Kutzer Ufer 1-3, 68167 Mannheim, Germany

    M. Löhr

Authors
  1. H. S. Ko
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  2. M. Anders
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  3. S. Diehl
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  4. E. Dominguez
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  5. M. Löhr
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  6. C. Düber
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Ko, ., Anders, ., Diehl, . et al. Portal vein erosion and acute abdominal hemorrhage as a complication of acute pancreatitis. Abdom Imaging 28, 700–702 (2003). https://doi.org/10.1007/s00261-003-0014-1

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  • DOI: https://doi.org/10.1007/s00261-003-0014-1

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