Hemorragia por ruptura de pseudoaneurisma pancreático.: Caso clínico

Exceptional Use of a Surgical Oxidized Cellulose Polymer Taponade in a Patient With Hemosuccus Pancreaticus

“…Surgery is the treatment option when radiological embolization fails. [1][2][3][4][5][6] We present a case in which it was necessary to control a hemorrhage originating from a pancreatic pseudocyst secondary to hemosuccus pancreaticus. The patient is a 72-year-old male with a history of severe acute pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) 15 months earlier.…”

“…Another factor that has been related with the genesis and rupture of aneurysms and pseudoaneurysms is Salmonella typhi infection. 3 Angiography is the method of choice for identifying the exact location of the hemorrhage, with a reported sensitivity of 96%. 2 Bleeding can be stopped with either of 2 procedures: surgery, involving ligation of the bleeding vessel or total or partial resection of the affected area; and, selective transcatheter embolization, which can be done during diagnostic angiography.…”

“…2 The formation of a pseudoaneurysm is the result of the erosion and weakening of the pancreatic and peripancreatic artery walls due to inflammation caused by the release of pancreatic enzymes. 3 The most frequently affected blood vessels are the splenic and hepatic arteries, although any branch of the celiac trunk can be compromised. Another factor that has been related with the genesis and rupture of aneurysms and pseudoaneurysms is Salmonella typhi infection.…”