ABSTRACT
Bleeding from a pseudoaneurysm is a rare complication of chronic pancreatitis. We present two cases of ruptured pseudoaneurysms of the hepatic arteries. The first case involved a pancreatic pseudocyst that ruptured in the duodenum and the second resulted in an intrahepatic hematoma that compressed the bile tract causing secondary hemobilia. Angiographic embolization was the primary treatment in both cases, with surgery for the first patient and later radiological drainage in the second. The hemorrhage was controlled in both cases despite the severe prognosis and high mortality in these cases.
Subject(s)
Aneurysm, False/etiology , Hepatic Artery/pathology , Pancreatitis, Chronic/complications , Adult , Aneurysm, Ruptured/etiology , Duodenal Ulcer/etiology , Embolization, Therapeutic , Hematoma/etiology , Hemobilia/etiology , Humans , Liver Diseases/etiology , Male , Middle Aged , Pancreatic Pseudocyst/complications , Pancreaticoduodenectomy , Peptic Ulcer Hemorrhage/etiologySubject(s)
Escherichia coli Infections/complications , Femoral Nerve , Kidney Diseases/complications , Neuralgia/microbiology , Psoas Abscess/complications , Anti-Bacterial Agents/therapeutic use , Diabetes Mellitus, Type 2/complications , Drainage , Escherichia coli Infections/diagnosis , Escherichia coli Infections/therapy , Female , Humans , Kidney Diseases/diagnosis , Kidney Diseases/microbiology , Kidney Diseases/therapy , Middle Aged , Neuralgia/diagnosis , Neuralgia/therapy , Psoas Abscess/diagnosis , Psoas Abscess/microbiology , Psoas Abscess/therapy , Treatment OutcomeABSTRACT
Gastrojejunocolic fistulae, ultimate complication of anastomotic peptic ulceration, are presently uncommon. We report two recent cases of postoperative gastrojejunocolic fistulas (after duodenal ulcer surgery and total duodenopancreatectomy), which were complicated at time of diagnosis (acute peritonitis and liver cirrhosis) and required a two-stage treatment.
