GASTRODUODENAL AND PANCREATICODUODENAL ARTERY ANEURYSMS - A COMPLICATION OF PANCREATITIS CAUSING SPONTANEOUS GASTROINTESTINAL HEMORRHAGE

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  • 1 January 1980
    • journal article
    • research article
    • Vol. 88  (3) , 335-344
Abstract
Aneurysmal degeneration of gastroduodenal and pancreaticoduodenal arteries due to acute and chronic forms of pancreatitis is uncommon. Gastrointestinal hemorrhage secondary to these vascular lesions has been recognized in only 23 patients. Eight patients are presented, including 5 with gastroduodenal and 3 with pancreaticoduodenal artery aneurysms. Selective mesenteric arteriography provided the greatest diagnostic specificity. Computerized axial tomography was of discriminate diagnostic value in 2 patients. Of 8 patients, 7 underwent surgical therapy: transcystic arterial ligation and external pancreatic pseudocyst drainage (4), arterial ligation with abscess drainage (2) and pancreaticoduodenectomy (1). Three patients died after operation from intraabdominal sepsis as well as delayed arterial hemorrhage. Earlier operative intervention, dictated by the patient''s clinical status and relevant anatomic findings, may improve survival rates in this complex disease state.

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