Korean J Pancreas Biliary Tract.  2017 Jan;22(1):35-38. 10.15279/kpba.2017.22.1.35.

Chronic Pancreatitis Associated with Liver Infarction and Inferior Pancreaticoduodenal Artery Pseudoaneurysm

• Jeong YO
• Lee JG

• KMID: 2448591
• DOI: http://doi.org/10.15279/kpba.2017.22.1.35

Abstract

Liver infarction is rare because of dual blood supply of the liver with hepatic artery and portal vein. And its occurrence as a complication of chronic pancreatitis is rarer. We present a case of chronic pancreatitis complicated by liver infarction and inferior pancreaticoduodenal artery pseudoaneurysm. A 31-year-old female with alcoholism presented with severe acute epigastric pain. Serum amylase and lipase were 203 IU/L and 78 IU/L, respectively. Initial computed tomography (CT) scan showed peripancreatic infiltration, fluid collection, right portal vein thrombosis, and a large wedge-shaped low attenuation in the right hepatic lobe. The patient has been treated with heparin. Follow-up CT scan done after 4 days of heparin treatment demonstrated a pseudocyst with internal hemorrhage and a pseudoaneurysm. Angiography revealed a pseudoaneurysm in inferior pancreaticoduodenal artery. Coil embolization of the artery was done. The patient has been discharged without complication. Follow-up CT scan showed resolution of liver infarction, portal vein thrombosis and pseudoaneurysm.

Keyword

Liver; Infarction; Pancreatitis; Portal vein; Thrombosis

MeSH Terms

Adult
Alcoholism
Amylases
Aneurysm, False*
Angiography
Arteries*
Embolization, Therapeutic
Female
Follow-Up Studies
Hemorrhage
Heparin
Hepatic Artery
Humans
Infarction*
Lipase
Liver*
Pancreatitis
Pancreatitis, Chronic*
Portal Vein
Thrombosis
Tomography, X-Ray Computed
Venous Thrombosis
Amylases
Heparin
Lipase