Case of a bleeding pseudoaneurysm of the middle colic artery complicating acute pancreatitis

Takayuki Toyonaga, Sakae Nagaoka, Kennoki Ouchida, Morisuke Nagata, Toshihik Shirota, Takahiro Ogawa, Junnichi Yoshida, Masahiro Sinohara, Kennichi Matuo, Kennzo Sumitomo, Motoichi Akao

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Abstract

Massive bleeding from a pseudoaneurysm is rare, but it can be a life-threatening complication in patients with acute pancreatitis. We present a case in which massive bleeding from a pseudoneurysm in the middle colic artery complicating acute pancreatitis was successfully treated by transcatheter embolization and by continuous regional arterial infusion of a protease inhibitor and antibiotic. We also discuss the clinical features, diagnosis and treatment of such lesions in light of the literature. We emphasize the value of computed tomography in the early diagnosis of mesenteric hematoma in cases of acute pancreatitis and the value of angiography for control of bleeding from the complicating pseudoaneurysm.

Original languageEnglish
Pages (from-to)1141-1143
Number of pages3
JournalHepato-gastroenterology
Volume49
Issue number46
Publication statusPublished - Jan 1 2002

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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    Toyonaga, T., Nagaoka, S., Ouchida, K., Nagata, M., Shirota, T., Ogawa, T., Yoshida, J., Sinohara, M., Matuo, K., Sumitomo, K., & Akao, M. (2002). Case of a bleeding pseudoaneurysm of the middle colic artery complicating acute pancreatitis. Hepato-gastroenterology, 49(46), 1141-1143.