Angiography of Massive Hemorrhage Secondary to Pancreatic Disease

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Abstract
Patients (30) with massive abdominal hemorrhage related to chronic pancreatitis, pancreatic neoplasms and arteriovenous malformations were studied angiographcally. Abdominal hemorrhage drained most frequently into the gastrointestinal tract and flowed through cutaneous drain sites and fistulas, intraperitoneally, into pseudocysts and once into a large pancreatic tumor. The most common angiographic observation in pancreatitis was pseudoaneurysm formation. Both patients with arteriovenous malformation had dilated, racemose feeding arteries and early dense filling of the draining veins. Patients (3) had pancreatic carcinoma and documented bleeding from gastroesophageal varices related to portal or splenic vein occlusion by the tumor. five patients were treated by vasopressin infusion, balloon tamponade for therapeutic embolization.

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