A Case of a Pancreatic Pseudocyst Complicated with Hemosuccus Pancreaticus and Giant Aneurysm of the Left Common Iliac Artery

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 24; no. 7; pp. 1201 - 1205
• Main Authors: Kaneda, Munehisa, Matsumoto, Kenji, Watada, Susumu, Matsubara, Kentaro, Akiyoshi, Takurin, Inoue, Fumihiko, Shintani, Tsunehiro, Kitajima, Masaki
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 2004
• Subjects: Hemosuccus pancreaticus
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem1993.24.1201

A 69-year-old man, who was suspected of having acute pancreatitis at another hospital, was admitted to our hospital due to a concomitant giant aneurysm of the left common iliac artery (LCIA). Abdominal CT scan and MRI revealed the giant aneurysm of the LCIA, a hemorrhagic pancreatic pseudocyst and a pseudoaneurysm of the splenic artery. Emergency abdominal angiography showed bleeding from a branch of the dorsal pancreatic artery communicating with the pancreatic pseudocyst and subsequently to the major pancreatic duct. He was eventually diagnosed as having hemorrhage from the pancreatic pseudocyst complicated with hemosuccus pancreaticus and with a giant aneurysm of the LCIA. Successful coil embolization was carried out, first of the pseudoaneurysm, followed by the splenic artery. The aneurysm of the LCIA was then embolized with coils, following by a bypass with a femorofemoral artery graft. The authors consider that combinations of various therapeutic methods, including interventional endovascular procedures, can be useful in highly risky cases.