Ruptured Pseudoaneurysm Associated with Pancreatic Pseudocyst during the follow-up Period-Report of a Case and Review of the Literature-
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Pseudoaneurysm rupture is a majior complication in managing patients with pancreatic pseudocysts. We treated a ruptured splenic pseudoaneurysm associated with an alcoholic pseudocyst with transcatheter arterial embolization (TAE) followed by distal pancreatectomy. A 31-year-old man followed up for alcoholic pancrea titis and a subsequent pancreatic pseudocyst over 3 years was found in initial abdominal computed tomog raphy (CT) to have a cystic lesion 5 cm in diameter localized in the pancreatic tail. The CT study was made due to a history of recent abdominal pain. The enhanced tiny lesion was found near the splenic hilus in addition to the previously found pseudocyst, suggesting the development of splenic pseudoaneurysm. CT repeated 3 months later in follow-up showed the ruptured pseudoaneurysm to the pancreatic pseudocyst. TAE using a microcoil was used to avoid rupturing the enlarged pancreatic pseudocyst, a potentially fatal event for the patient. Elective distal pancreatectomy and splenectomy 2 weeks resulted in satisfactory recovery and freedom from disease more than 2 years after surgery.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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