Chronic Pancreatitis Associated with Liver Infarction and Inferior Pancreaticoduodenal Artery Pseudoaneurysm / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 35-38, 2017.
Article
in Korean
| WPRIM
| ID: wpr-143196
ABSTRACT
Liver infarction is rare because of dual blood supply of the liver with hepatic artery and portal vein. And its occurrence as a complication of chronic pancreatitis is rarer. We present a case of chronic pancreatitis complicated by liver infarction and inferior pancreaticoduodenal artery pseudoaneurysm. A 31-year-old female with alcoholism presented with severe acute epigastric pain. Serum amylase and lipase were 203 IU/L and 78 IU/L, respectively. Initial computed tomography (CT) scan showed peripancreatic infiltration, fluid collection, right portal vein thrombosis, and a large wedge-shaped low attenuation in the right hepatic lobe. The patient has been treated with heparin. Follow-up CT scan done after 4 days of heparin treatment demonstrated a pseudocyst with internal hemorrhage and a pseudoaneurysm. Angiography revealed a pseudoaneurysm in inferior pancreaticoduodenal artery. Coil embolization of the artery was done. The patient has been discharged without complication. Follow-up CT scan showed resolution of liver infarction, portal vein thrombosis and pseudoaneurysm.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatitis
/
Portal Vein
/
Arteries
/
Thrombosis
/
Angiography
/
Heparin
/
Tomography, X-Ray Computed
/
Follow-Up Studies
/
Aneurysm, False
/
Venous Thrombosis
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Pancreas and Biliary Tract
Year:
2017
Type:
Article
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