Korean J Med.  1998 Apr;54(4):552-557.

Embolization of Gastroduodenal Artery Aneurysmal Rupture Caused by Chronic Pancreatitis

• Kang KW
• Kim HG
• Lee MS
• Kim WJ

Abstract

Gastrointestinal hemorrhage is a recognized complica tion of chronic pancreatitis and has been reported to occur in up to 20% of cases. Visceral vessel aneurysm such as gastroduodenal artery aneurysm associated with chronic pancreatitis is rare but clinically important vascular lesion because it carries a high mortality, making early diagnosis and treatment essential. The conventional treatment has been surgical liga tion or resection of aneurysm which is associated with high mortality and morbidity. So transarterial emboliza tion has been used recently in preference to surgery to stop the hemorrhage from this aneurysm. We report a case in which bleeding from a gastroduo denal artery aneurysm, caused by chronic pancreatitis, was successfully treated by embolization using a metallic micro coil.

Keyword

Gastroduodenal artery pseudoaneurysm; Embolization; Chronic pancreatitis

MeSH Terms

Aneurysm*
Arteries*
Early Diagnosis
Gastrointestinal Hemorrhage
Hemorrhage
Mortality
Pancreatitis, Chronic*
Rupture*