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- Title
Splenic Artery Pseudoaneurysm Causing Massive Hematemesis 10 Years After Necrotizing Pancreatitis.
- Authors
Chen, Reuben; Pande, Girish; Johnson, Mary Ann
- Abstract
We report a case of a 54-year-old male presenting to a regional hospital with severe hematemesis and hemodynamic instability. His medical history was significant for a previous episode of alcoholic necrotizing pancreatitis and pseudocyst, requiring cystoenterostomy drainage and debridement 10 years prior. He underwent multiple gastroscopies and one emergency laparotomy which failed to definitively treat the bleeding. A splenic artery pseudoaneurysm was diagnosed with computed tomography angiography, adjacent to the previous cystoenterostomy site. The patient was transferred to a major tertiary center with access to interventional radiology and underwent successful embolization of the pseudoaneurysm.
- Subjects
ABDOMINAL surgery; BLOOD vessels; COMPUTED tomography; DEBRIDEMENT; GASTROSCOPY; HEMATEMESIS; NECROTIZING pancreatitis; THERAPEUTIC embolization; FALSE aneurysms; SPLENIC artery; MEDICAL drainage; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2020, Vol 54, Issue 5, p455
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574420921004