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Case Reports
. 2008 Apr 28;14(16):2612-4.
doi: 10.3748/wjg.14.2612.

Acute necrotizing pancreatitis complicated with pancreatic pseudoaneurysm of the superior mesenteric artery: a case report

Affiliations
Case Reports

Acute necrotizing pancreatitis complicated with pancreatic pseudoaneurysm of the superior mesenteric artery: a case report

Qing He et al. World J Gastroenterol. .

Abstract

Acute necrotizing pancreatitis complicated with pancreatic pseudoaneurysm is a rare emergency associated with high mortality that demands immediate treatment to save the patient's life. We treated a 64-year-old man who presented with a bleeding pseudoaneurysm of the superior mesenteric artery caused by acute pancreatitis, using interventional embolizing therapy. In the present report we show that interventional treatment is an effective therapeutic modality for patients with acute necrotizing pancreatitis complicated with intra-abdominal bleeding.

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Figures

Figure 1
Figure 1
CT scan. A: Presence of the postperitoneal hematoma (arrow); B: Increase in the size of postperitoneal hematoma and presence of a pseudocyst (arrows).
Figure 2
Figure 2
Angiography. A: SMA angiography shows a pseudoaneurysm in a branch of the SMA with extravasation of the contrast (arrow); B: Subselective angiography illustrates extravasation of the contrast more clearly (arrow); C: After embolization of the damaged artery, there is cessation of extravasation of the contrast, with disappearance of the nidus (pseudoaneurysm) (arrow).

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