Massive pseudocysto-jejunal hemorrhage caused by rupture of pseudoaneurysm of the splenic artery
Flati, G.; Negro, P.; Porowska, B.; Flati, D.; Salvatori, F.; Saputelli, A.; Talarico, A.; Hidalgo, M.; Carboni, M.
Revista Espanola de Enfermedades Digestivas Organo Oficial de la Sociedad Espanola de Patologia Digestiva 86(6): 918-921
1994
ISSN/ISBN: 1130-0108 PMID: 7873270 Document Number: 438124
The authors report a case of massive intestinal hemorrhage caused by rupture of a splenic artery pseudoaneurysm into a pseudocystojejunostomy. The pathologic and clinical features of this unusual complication of pancreatitis are discussed. One hundred and seventy one cases of major bleeding associated with pseudocysts and/or pseudoaneurysms have been reported in the literature during the period 1989-May 1991. Acute and chronic pancreatitis may be the underlying etiologies and the overall mortality rate of this complication is 35.1%. According to the authors experience, angiographic localization of the bleeding sources and steel coil embolization play a key role in the diagnostic and therapeutic approach to what is generally regarded as the most rapidly lethal sequelae of pancreatitis.