Document Detail


Left colic artery pseudoaneurysm from pancreatitis presenting as upper gastrointestinal hemorrhage.
MedLine Citation:
PMID:  19028114     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Visceral pseudoaneurysms resulting from pancreatitis occur in approximately 10% of cases. The present report describes a left colic artery pseudoaneurysm from pancreatitis presenting with active duodenal bleeding. Based on the clinical and endoscopic demonstration of duodenal bleeding, celiac and superior mesenteric arteriograms were initially obtained, and their findings were negative. Repeat arteriography, including an inferior mesenteric artery injection, demonstrated a left colic pseudoaneurysm with rupture into the pancreatic duct and retrograde flow into the duodenum. Because of inconsistent diagnostic yields for arteriography performed for pancreatitis-related bleeding, the authors recommend disciplined interrogation of all three major mesenteric vessels, unbiased by initial endoscopic findings, to reduce false-negative examination results and empiric embolization.
Authors:
Daniel A Marichal; Clare Savage; J D Meler; David Kirsch; Chet R Rees
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-22
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  20     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-26     Completed Date:  2009-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  133-6     Citation Subset:  IM    
Affiliation:
Department of Radiology, Division of Vascular and Interventional Radiology, Baylor University Medical Center, Dallas, TX 75246, USA.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology,  radiography*,  therapy
Aneurysm, Ruptured / etiology,  radiography*,  therapy
Angiography, Digital Subtraction
Duodenal Diseases / etiology*,  radiography,  therapy
Embolization, Therapeutic
Esophagoscopy
Gastrointestinal Hemorrhage / etiology*,  radiography,  therapy
Humans
Male
Mesenteric Arteries / radiography*
Middle Aged
Pancreatitis, Alcoholic / complications*,  radiography
Tomography, Spiral Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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