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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2021; 04(01): 066-069
DOI: 10.1055/s-0040-1716804
Case Report

Ruptured Pancreaticoduodenal Artery Pseudoaneurysm in an Unusual Location in a Patient with Chronic Pancreatitis: A Case Report

Sirote Wongwaisayawan 
1   Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital Mahidol University, Ratchathewi, Bangkok, Thailand
2   Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada
,
Demetri Papadatos
2   Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada
,
Rima Aina
2   Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada
,
Adnan Sheikh
2   Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada
› Author Affiliations Funding None.
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Abstract

Bleeding pseudoaneurysm is a rare but yet potentially lethal complication in a patient with chronic pancreatitis. It also poses a diagnostic challenge among the radiologists and the attending physicians. The mortality rate can be as high as 50% depending on the clinical status, patient hemodynamics, site, and characteristics of the bleeding pseudoaneurysm. Multidisciplinary team approach is essential to deliver the optimum treatment strategy to each individual patient. In this article, we present a case of chronic pancreatitis that presents with acute epigastric pain caused by ruptured pancreaticoduodenal artery pseudoaneurysm in an unusual location. This patient was successfully treated with transcatheter coil embolization.

Keywords

chronic pancreatitis - pseudoaneurysm - embolization


Publication History

Article published online:
12 October 2020

© 2020. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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