Imaging of a case of wirsungorrhagia
Dahan, H.; Arrivé, L.; Monnier-Cholley, L.; Lewin, M.; Rotenberg, L.; Tubiana, J.M.
Journal de Radiologie 78(8): 589-591
1997
ISSN/ISBN: 0221-0363 PMID: 9537177 Document Number: 481319
We report a case of wirsungorrhagia related to rupture of a pseudoaneurysm into the duct of Wirsung in a patient with chronic pancreatitis. Upper gastrointestinal endoscopy showed blood coming from the papilla of Vater suggesting wirsungorrhagia. Non-contrast computed tomography showed a spontaneous hyperdensity and arteriography showed an extravasation of contrast within a very large duct of Wirsung confirming wirsungorrhagia. Arteriography and dynamic computed tomography revealed a pseudoaneurysm from the left gastric artery. The pseudoaneurysm was successfully embolized with four steel microcoils, after super-selective catheterization of small branch of the left gastric artery, keeping gastric and liver vascularization.