Left Gastric Artery Pseudoaneurysm within a Pancreatic Pseudocyst: A Case Report
Published: April 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/50664.16255
Budumuri Gautam V Kumar, Prasanna Kumar Beeram, Udit Chauhan, Itish Patnaik, Rohit Gupta
1. Senior Resident, Department of Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
2. Senior Resident, Department of Gastroenterology, All India Institute of Medical Sciences, Dehradun, Uttarakhand, India.
3. Assistant Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, Dehradun, Uttrakhand, India.
4. Assistant Professor, Department of Gastroenterology, All India Institute of Medical Sciences, Dehradun, Uttrakhand, India.
5. Additional Professor, Department of Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Correspondence
Dr. Rohit Gupta,
Additional Professor, Department of Gastroenterology, Aiims Rishikesh,
Dehradun, Uttarakhand, India.
E-mail: docgupta1976@gmail.com
Left gastric artery Pseudoaneurysm (PSA) is a rare vascular complication of Acute Pancreatitis (AP), resulting from erosion of the pancreatic or peripancreatic artery into a pseudocyst. The splenic artery is the commonest artery involved, followed by the gastroduodenal artery and pancreaticoduodenal arteries. The occurrence of left gastric artery PSA within a Pancreatic Pseudocyst as sequelae of AP is rare but a significant life-threatening complication. Only a few cases have been reported on left gastric PSA causing haemorrhagic pseudocyst. The authors report a case of AP in a 57-year-old male with history of significant alcohol consumption who presented with pain in abdomen of pancreatic origin. On evaluation, he had a pseudocyst in the pancreatic head. After transpapillary drainage of the pseudocyst, it started draining bloody contents. An abdominal computed tomography was obtained, which showed a small left gastric artery PSA. The patient underwent successful angiographic coil embolisation of the PSA.
[
FULL TEXT ] | [ PDF]