Chronic Pancreatitis Associated with Liver Infarction and Inferior Pancreaticoduodenal Artery Pseudoaneurysm / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
; : 35-38, 2017.
Article
em Ko
| WPRIM
| ID: wpr-143189
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pancreatite
/
Veia Porta
/
Artérias
/
Trombose
/
Angiografia
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Heparina
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Tomografia Computadorizada por Raios X
/
Seguimentos
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Falso Aneurisma
/
Trombose Venosa
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Pancreas and Biliary Tract
Ano de publicação:
2017
Tipo de documento:
Article