ABSTRACT
Jejunal pseudoaneurysm is a rare complication of pancreatitis, usually manifested by digestive bleeding when it ruptures into the digestive lumen. This complication is extremely rare and may be life-threatening. The diagnosis is based on abdominal angiographic computed tomography. Radiology allows therapeutic management through arterial embolization. This case report describes a pseudoaneurysm of jejunal artery that developed as the result of pancreatitis: A 77-year-old man seen in early September 2015 at the emergency department for acute pancreatitis had a pseudocyst infected and spontaneously fistulized into the jejunum lumen. His condition responded initially to symptomatic therapy, and he was discharged. He returned two years later, with digestive bleeding from jejunal pseudoaneurysm that had ruptured into the jejunal lumen. Angiographic embolization was performed as first-line treatment with good outcome. Bleeding more than two years after acute pancreatitis due to rupture of a jejunal pseudoaneurysm is an exceptional complication. Here we report a rare case of digestive hemorrhage caused by jejunal pseudoaneurysm, complicating acute pancreatitis.
Subject(s)
Aneurysm, False/etiology , Aneurysm, Ruptured/etiology , Arteries , Jejunum/blood supply , Pancreatitis/complications , Aged , Aneurysm, False/diagnostic imaging , Aneurysm, False/therapy , Aneurysm, Ruptured/diagnostic imaging , Aneurysm, Ruptured/therapy , Arteries/diagnostic imaging , Embolization, Therapeutic , Gastrointestinal Hemorrhage/etiology , Humans , Male , Pancreatitis/diagnosis , Treatment OutcomeABSTRACT
Pulmonary tuberculosis (TB) is a common worldwide infection and a medical and social problem causing high mortality and morbidity; especially in developing countries.In accordance with the virulence of the organism and the defenses of the host; tuberculosis can occur in the lungs and in extrapulmonary organs. A variety of sequelae and complications can occur in the pulmonary and extrapulmonary portions of the thorax in treated or untreated patients.In this article; we aimed to review the characteristic imaging findings of various sequelae of thoracic tuberculosis affecting the lung parenchyma; airways; vessels; mediastinum; pleura; and chest wall
