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Z Gastroenterol 2021; 59(09): 961-963
DOI: 10.1055/a-1381-8610
Kasuistik

Hemosuccus Pancreaticus and Obstructive Jaundice: Two Rare Complications of Chronic Pancreatitis Treated by Arterial Embolization

Haemosuccus pancreaticus und Verschlussikterus: Behandlung zweier seltener Komplikationen der chronischen Pankreatitis durch arterielle Embolisation
Samira Abu Jhaisha
1   Department of Medicine III, University Hospital Aachen, Germany
,
Jonathan Frederik Brozat
1   Department of Medicine III, University Hospital Aachen, Germany
,
Philipp Hohlstein
1   Department of Medicine III, University Hospital Aachen, Germany
,
Theresa H Wirtz
1   Department of Medicine III, University Hospital Aachen, Germany
,
Josephine Hose
1   Department of Medicine III, University Hospital Aachen, Germany
,
Lukas Bündgens
1   Department of Medicine III, University Hospital Aachen, Germany
,
Sebastian Keil
2   Department of Diagnostic and Interventional Radiology, University Hospital Aachen, Germany
,
Christian Trautwein
1   Department of Medicine III, University Hospital Aachen, Germany
,
Alexander Koch
1   Department of Medicine III, University Hospital Aachen, Germany
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Abstract

The formation of a peripancreatic pseudoaneurysm is a rare and serious complication of chronic pancreatitis. In this report, we present the case of a 56-year-old male with a history of alcohol-related chronic pancreatitis resulting in both hemosuccus pancreaticus and obstructive jaundice due to a pseudoaneurysm of the gastroduodenal artery that was treated successfully by angiographic coiling.

Zusammenfassung

Die Ausbildung eines peripankreatischen Pseudoaneurysmas stellt eine seltene und gefährliche Komplikation einer chronischen Pankreatitis dar. Wir berichten über den Fall eines 56-jährigen Mannes mit rezidivierenden Episoden einer chronischen Pankreatitis äthyltoxischer Genese in der Vorgeschichte, bei dem es aufgrund eines Pseudoaneurysmas der A. gastroduodenalis sowohl zu einer Blutung aus dem Pankreasgang als auch zu einem Verschlussikterus gekommen war. Durch angiografisches Coiling konnte der Patient erfolgreich therapiert werden.

Key words

hemosuccus pancreaticus - pseudoaneurysm - chronic pancreatitis - biliary obstruction

Schlüsselwörter

Haemosuccus pancreaticus - Pseudoaneurysma - chronische Pankreatitis - obstruktive Cholestase


Publication History

Received: 27 January 2021

Accepted: 30 January 2021

Article published online:
16 March 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Callinan AM, Samra JS, Smith RC. Hemosuccus pancreaticus. ANZ J Surg 2004; 74: 395-397
    CrossrefPubMedSearch in Google Scholar
  • 2 Sandblom P. Gastrointestinal hemorrhage through the pancreatic duct. Ann Surg 1970; 171: 61-66
    CrossrefPubMedSearch in Google Scholar
  • 3 Balachandra S, Siriwardena AK. Systematic appraisal of the management of the major vascular complications of pancreatitis. Am J Surg 2005; 190: 489-495
    CrossrefPubMedSearch in Google Scholar
  • 4 Dufour MC, Adamson MD. The epidemiology of alcohol-induced pancreatitis. Pancreas 2003; 27: 286-290
    CrossrefPubMedSearch in Google Scholar
  • 5 Hanck C, Whitcomb DC. Alcoholic pancreatitis. Gastroenterol Clin North Am 2004; 33: 751-765
    CrossrefPubMedSearch in Google Scholar
  • 6 Barthet M, Bugallo M, Moreira LS. et al Management of cysts and pseudocysts complicating chronic pancreatitis. A retrospective study of 143 patients. Gastroenterol Clin Biol 1993; 17: 270-276
    PubMedSearch in Google Scholar
  • 7 Chiang KC, Chen TH, Hsu JT. Management of chronic pancreatitis complicated with a bleeding pseudoaneurysm. World J Gastroenterol 2014; 20: 16132-16137
    CrossrefPubMedSearch in Google Scholar
  • 8 Nykanen T, Udd M, Peltola EK. et al Bleeding pancreatic pseudoaneurysms: management by angioembolization combined with therapeutic endoscopy. Surg Endosc 2017; 31: 692-703
    CrossrefPubMedSearch in Google Scholar
  • 9 Udd M, Leppaniemi AK, Bidel S. et al Treatment of bleeding pseudoaneurysms in patients with chronic pancreatitis. World J Surg 2007; 31: 504-510
    CrossrefPubMedSearch in Google Scholar
  • 10 Sethi H, Peddu P, Prachalias A. et al Selective embolization for bleeding visceral artery pseudoaneurysms in patients with pancreatitis. Hepatobiliary Pancreat Dis Int 2010; 9: 634-638
    PubMedSearch in Google Scholar
  • 11 de Perrot M, Berney T, Buhler L. et al Management of bleeding pseudoaneurysms in patients with pancreatitis. Br J Surg 1999; 86: 29-32
    CrossrefPubMedSearch in Google Scholar
  • 12 Boudghene F, L'Hermine C, Bigot JM. Arterial complications of pancreatitis: diagnostic and therapeutic aspects in 104 cases. J Vasc Interv Radiol 1993; 4: 551-558
    CrossrefPubMedSearch in Google Scholar
  • 13 Kianmanesh R, Benjelloun M, Scaringi S. et al [Fissure syndrome of a gastrointestinal artery pseudoaneurysm in contact with a pseudocyst of the pancreas: rare, but serious complication of chronic pancreatitis]. Gastroenterol Clin Biol 2008; 32: 69-73
    CrossrefPubMedSearch in Google Scholar
  • 14 Larrey Ruiz L, Lujan Sanchis M, Peno Munoz L. et al Pseudoaneurysm associated with complicated pancreatic pseudocysts. Rev Esp Enferm Dig 2016; 108: 583-585
    CrossrefPubMedSearch in Google Scholar
  • 15 Gupta V, Irrinki S, Sakaray YR. et al Treatment strategies for bleeding from gastroduodenal artery pseudoaneurysms complicating the course of chronic pancreatitis – a case series of 10 patients. Indian J Gastroenterol 2018; 37: 457-463
    CrossrefPubMedSearch in Google Scholar
  • 16 Tin K, Sobani ZA, Horovitz J. et al Aortic and splanchnic artery aneurysms: Unusual causes of biliary obstruction—a retrospective cohort from literature. Int J Surg 2017; 39: 163-168
    CrossrefPubMedSearch in Google Scholar