A pancreatic hemorrhagic pseudocyst with pseudoaneurysm and the role of doppler ultrasonography: a case report
Rev. Assoc. Med. Bras. (1992)
;
65(2): 123-126, Feb. 2019. graf
Artículo
en Inglés
| 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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Índice:
LILACS (Américas)
Asunto principal:
Seudoquiste Pancreático
/
Aneurisma Falso
/
Ecocardiografía Doppler en Color
/
Pancreatitis Crónica
/
Hemorragia Gastrointestinal
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Estudio de tamizaje
Límite:
Anciano
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. Assoc. Med. Bras. (1992)
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Corea del Sur
Institución/País de afiliación:
Soonchunhyang University Seoul Hospital/KR
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