A Case of Successful Transcatheter Embolization of the Ruptured Pseudoaneurysm in Chronic Pancreatitis

Jang, Jae Ho; Oh, Sang Mi; Kim, Hyoung Sik; Kim, Gwang Hun; Mun, Byoung Sik; Shin, Kyoung Deok; Lee, Su Teik; Kim, Dai Gon; Ahn, Deuk Su; Han, Young Min

Abstract

Rupture of pseudoaneurysm from chronic pancreatitis is rare, but a fatal complication is encountered in patients with chronic pancreatitis. Tirnely diagnosis and treatment result in markedly reduced mortality. Surgery has been known as the established treatment for patients with chronic pancreatitis having pseudoaneurysmal rupture. Transcatheter embolization technique has also been regarded recently as one of the methods to avoid and decrease the surgical risk in such an emergency situation. An alcoholic 30-year-old man who had history of chronic pancreatitis with pseudocyst complained of fatigue and right upper quadrant pain. Celiac angiograpy revealed outpouching sac in the gastroduodenal artery. Thus, we performed embolization of the neck of the sac with steel coil successfully. After the embolization, subsidence of the symptoms was observed, Six months later, we checked abdominal CT. The pseudoaneurysm disappeared and surrounding hematorna was absorbed completely.