Large Intestine Bleeding Caused by the Lienal Artery Pseudoaneurysm Rupture Complicating a Pancreatic Pseudocyst

Czech version

Authors: M. Kalavský ¹; J. Smetka ²
Authors‘ workplace: Chirurgické oddělení, Nemocnice Kyjov, MUDr. B. Okénka – pověřen vedením ¹; 1. chirurgická klinika, FN u sv. Anny Brno, přednosta: prof. MUDr. Ivan Čapov, CSc. ²
Published in: Rozhl. Chir., 2011, roč. 90, č. 10, s. 590-593.
Category: Monothematic special - Original

Overview

Bleeding pseudoaneurysm of a peripancreatic artery is a rare cause of gastrointestinal haemorrhage. Arterial pseudoaneurysm develops as a result of partial enzymatic damage of arterial wall in acute or chronic pancreatitis. The authors report the case of a 60-years old man with bleeding into the lienal flexure of the colon due to the erosion of the pseudoaneurysm of a branch of splenic artery into the pancreatic pseudocyst in the tail region of the pancreas communicating with the colon. The diagnosis was established by CT-scan and angiography. The patient underwent surgery with the ligation of the bleeding vessel and the resection of the part of the colon.

Key words:
gastrointestinal haemorrhage – chronic pancreatitis – pancreatis pseudocyst – peripancreatic pseudoaneurysm

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