Document Detail


Septic course of chronic pancreatitis caused by infected visceral pseudoaneurysm content.
MedLine Citation:
PMID:  19003751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Visceral pseudoaneurysms occur in approximately 4-10% of all patients with chronic pancreatitis and in untreated cases the mortality rate can reach 90% of cases. The septic course of visceral pseudoaneurysm formation adds major problems to the complex treatment of these patients: Namely the removal of infected material and the occlusion of the ruptured visceral artery significantly complicate treatment strategy. The aim of this report is to present the case of a patient with severe sepsis due to chronic pancreatitis complicated by pseudoaneurysm formation of the gastroduodenal artery in the head of the pancreas. A 32-year-old man underwent semi-urgent surgery after initial haemodynamic stabilization and urgent diagnostic processing including color-coded abdominal duplex sonography, angio-CT, angiography and endoscopic retrograde cholangio-pancreaticography. The removal of infected pseudoaneurysm content was performed and preceded by the extra-pancreatic ligatures of the gastroduodenal and right-sided gastro-epiploic arteries. Blood transfusions could be avoided and the postoperative outcome was uneventful. The rare septic course of visceral pseudoaneurysm complicating chronic pancreatitis may be treated successfully by open surgical technique, with consecutive elimination of the septic focus and the occlusion of ruptured and feeding arteries performed as a one-step procedure.
Authors:
P Paluszkiewicz; W Kolaczynski
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  37     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-12     Completed Date:  2009-01-09     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  379-82     Citation Subset:  IM    
Affiliation:
Medical University, Department of Surgery and Surgical Nursing, Lublin, Poland. ppalusz@uhc.com.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / microbiology*,  pathology,  surgery
Aneurysm, Infected / microbiology*,  pathology,  surgery
Angiography, Digital Subtraction
Digestive System Surgical Procedures
Escherichia coli / isolation & purification*
Humans
Male
Pancreas / blood supply*
Pancreatitis, Chronic / complications,  microbiology*,  pathology,  surgery
Sepsis / microbiology*,  pathology,  surgery
Tomography, X-Ray Computed
Treatment Outcome

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


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