Pancreatic Pseudoaneurysm from a Gastroduodenal Artery

Gurala, Dhineshreddy; Polavarapu, Abhishek; Idiculla, Pretty Sara; Daoud, Magda; Gumaste, Vivek

doi:10.1159/000503895

Cited by 18 publications

(26 citation statements)

References 13 publications

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“…Pseudoaneurysms are outpouchings that do not contain at least one of these layers due to some form of wall injury. Some commonly involved arteries for pseudoaneurysm presentation include the splenic artery (most common), gastroduodenal artery, pancreatoduodenal artery, superior mesenteric, left gastric, hepatic, and small intrapancreatic arteries [6].…”

Section: Discussionmentioning

confidence: 99%

Hepatic Artery Pseudoaneurysm Presenting as Gastrointestinal Hemorrhage

Singh¹,

Scibelli

Gosal

et al. 2021

Cureus

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A hepatic artery pseudoaneurysm (HAP) is a rare complication of laparoscopic cholecystectomy. It can vary in its clinical presentation; however, given its severe nature, prompt assessment and management are crucial. We report a case of a 73-year-old male who underwent a laparoscopic cholecystectomy complicated by a right hepatic artery injury. This subsequently presented as a life-threatening case of upper gastrointestinal bleeding from HAP, with presumable hemobilia and septic shock from multiple liver abscesses. The diagnosis was made with computed tomography angiography (CTA) of the abdomen and pelvis followed by visceral angiography. The patient ultimately underwent a right hepatectomy for definitive treatment. The primary objective of this case is to highlight a less novel, though rare, case presentation and define a spectrum of treatment options available based on severity.

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Section: Discussionmentioning

confidence: 99%

Hepatic Artery Pseudoaneurysm Presenting as Gastrointestinal Hemorrhage

Singh¹,

Scibelli

Gosal

et al. 2021

Cureus

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“…GDA and pancreaticoduodenal artery are the next commonly involved arteries (~10-15% and 10% of the cases, respectively). 4,5 The GDA typically arises from common hepatic artery and gives off anterior superior pancreaticoduodenal artery and posterior superior pancreaticoduodenal artery, forming pancreaticoduodenal arcades. These arteries and arcades serve as a major blood supply to the second part of duodenum and the pancreatic head.…”

Section: Discussionmentioning

confidence: 99%

“…13 Endovascular therapy also offers advantages in terms of less postoperative pain, shorter hospital length of stay, and early return to daily life activity. 5 Embolization may also be a second option following unsuccessful surgery, complication of surgical procedure, or in patients with rebleeding after surgery. The currently available options for endovascular therapy include transcatheter embolization using coils, liquid embolic agents, or plugs; placement of a stent-graft; percutaneous thrombin injection; and combined or multimodal approach.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Pancreaticoduodenal Artery Pseudoaneurysm in an Unusual Location in a Patient with Chronic Pancreatitis: A Case Report

Wongwaisayawan

Papadatos

Aina

et al. 2020

Journal of Gastrointestinal and Abdominal Radiology

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Bleeding pseudoaneurysm is a rare but yet potentially lethal complication in a patient with chronic pancreatitis. It also poses a diagnostic challenge among the radiologists and the attending physicians. The mortality rate can be as high as 50% depending on the clinical status, patient hemodynamics, site, and characteristics of the bleeding pseudoaneurysm. Multidisciplinary team approach is essential to deliver the optimum treatment strategy to each individual patient. In this article, we present a case of chronic pancreatitis that presents with acute epigastric pain caused by ruptured pancreaticoduodenal artery pseudoaneurysm in an unusual location. This patient was successfully treated with transcatheter coil embolization.

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“…1 These pseudoaneurysms involve peri-pancreatic visceral arteries with the splenic artery being most commonly affected (50%), followed by gastroduodenal arteries (10-15%) and pancreaticoduodenal arteries, superior mesenteric, left gastric, and celiac artery. 2 Due to their inherent instability, untreated pseudoaneurysms may insidiously progress and can rupture spontaneously, leading to significant fatality. 3 Hence, early diagnosis with relevant radiological investigations and management are essential in decreasing both mortality and morbidity of the patient.…”

Section: Introductionmentioning

confidence: 99%

Giant Celiac Artery Pseudoaneurysm in a Case of Chronic Pancreatitis: A Rare Case Report With Literature Review

Chapa

Dutta

Reddy

et al. 2021

Vasc Endovascular Surg

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Pancreatic pseudoaneurysms though uncommon can result in life-threatening spontaneous acute gastrointestinal or intraperitoneal hemorrhage. Celiac artery pseudoaneurysm in a background of chronic pancreatitis is a very rare event. Digital Subtraction Angiography is an important adjunct in the diagnosis and follow-up with the advantage of providing therapeutic options along with giving other details regarding the site, size, and flow characteristics. It has replaced emergency surgical procedures with the added advantage of fewer postoperative complications and lower morbidity and mortality. An urgent surgical intervention remains the only option when such endovascular management fails, not feasible, or is unavailable. Surgical options include proximal arterial ligation or a pancreatic resection, depending on the location of the pseudoaneurysm. We report a case of a 35-year-old gentleman, a known patient of chronic pancreatitis, who presented to our emergency with clinical features of hypovolemic shock and was diagnosed to have celiac artery pseudoaneurysm. Following a failed endovascular coiling, he was successfully managed with operative celiac artery ligation.

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Pancreatic Pseudoaneurysm from a Gastroduodenal Artery

Cited by 18 publications

References 13 publications

Hepatic Artery Pseudoaneurysm Presenting as Gastrointestinal Hemorrhage

Hepatic Artery Pseudoaneurysm Presenting as Gastrointestinal Hemorrhage

Ruptured Pancreaticoduodenal Artery Pseudoaneurysm in an Unusual Location in a Patient with Chronic Pancreatitis: A Case Report

Giant Celiac Artery Pseudoaneurysm in a Case of Chronic Pancreatitis: A Rare Case Report With Literature Review

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