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A pancreatic hemorrhagic pseudocyst with pseudoaneurysm and the role of doppler ultrasonography: a case report
Ryu, Kyunghwa; Hong, Seong Sook; Cha, Hwajin; Hwang, Jiyoung; Lee, EunJi; Cho, Young Deok; Chang, Yun-Woo; Kim, Yong Jae.
  • Ryu, Kyunghwa; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
  • Hong, Seong Sook; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
  • Cha, Hwajin; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
  • Hwang, Jiyoung; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
  • Lee, EunJi; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
  • Cho, Young Deok; Soonchunhyang University Seoul Hospital. Department of Internal Medicine. Digestive Disease Center and Research Institute. Seoul. KR
  • Chang, Yun-Woo; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
  • Kim, Yong Jae; Soonchunhyang University Seoul Hospital. Department of Radiology. Seoul. KR
Rev. Assoc. Med. Bras. (1992) ; 65(2): 123-126, Feb. 2019. graf
Article in English | LILACS | ID: biblio-990337
ABSTRACT
SUMMARY Hemorrhagic pseudocysts with pseudoaneurysms are a rare and fatal complication of chronic pancreatitis due to the erosion of pancreatic to peripancreatic arteries. The timing of the rupture cannot be accurately predicted, but prompt diagnosis and management are essential to prevent further bleeding. We describe the case of a 68-year-old man who presented acute epigastric pain and anemia and had a history of chronic pancreatitis with a pseudocyst. A biliary and pancreas MRI showed an enlarged size of a known pancreatic pseudocyst with internal high signal intensity material. Color-Doppler ultrasonography showed pulsating signals in the pseudocyst, and our final diagnosis was a pseudoaneurysm in the pancreatic hemorrhagic pseudocyst. The pseudoaneurysm was successfully treated with coil embolization of the feeding artery. We report this case of a rare complication of chronic pancreatitis to show that color-Doppler ultrasound is a non-invasive and effective diagnostic tool for pseudoaneurysm, which enables early detection and prompt treatment without the need for invasive diagnostic modalities.
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Full text: Available Index: LILACS (Americas) Main subject: Pancreatic Pseudocyst / Aneurysm, False / Echocardiography, Doppler, Color / Pancreatitis, Chronic / Gastrointestinal Hemorrhage Type of study: Etiology study / Prognostic study / Screening study Limits: Aged / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2019 Type: Article Affiliation country: South Korea Institution/Affiliation country: Soonchunhyang University Seoul Hospital/KR

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Full text: Available Index: LILACS (Americas) Main subject: Pancreatic Pseudocyst / Aneurysm, False / Echocardiography, Doppler, Color / Pancreatitis, Chronic / Gastrointestinal Hemorrhage Type of study: Etiology study / Prognostic study / Screening study Limits: Aged / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2019 Type: Article Affiliation country: South Korea Institution/Affiliation country: Soonchunhyang University Seoul Hospital/KR