A pancreatic hemorrhagic pseudocyst with pseudoaneurysm and the role of doppler ultrasonography: A case report

Kyunghwa Ryu, Seong Sook Hong, Hwajin Cha, Jiyoung Hwang, Eun Ji Lee, Young Deok Cho, Yun Woo Chang, Yong Jae Kim

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Hemorrhagic pseudocysts with pseudoaneurysms are a rare and fatal complication of chronic pancreatitis due to the erosion of pancreatic to peripancreatic arteries. The timing of the rupture cannot be accurately predicted, but prompt diagnosis and management are essential to prevent further bleeding. We describe the case of a 68-year-old man who presented acute epigastric pain and anemia and had a history of chronic pancreatitis with a pseudocyst. A biliary and pancreas MRI showed an enlarged size of a known pancreatic pseudocyst with internal high signal intensity material. Color-Doppler ultrasonography showed pulsating signals in the pseudocyst, and our final diagnosis was a pseudoaneurysm in the pancreatic hemorrhagic pseudocyst. The pseudoaneurysm was successfully treated with coil embolization of the feeding artery. We report this case of a rare complication of chronic pancreatitis to show that color-Doppler ultrasound is a non-invasive and effective diagnostic tool for pseudoaneurysm, which enables early detection and prompt treatment without the need for invasive diagnostic modalities.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalRevista da Associacao Medica Brasileira
Volume65
Issue number2
DOIs
StatePublished - Feb 2019

Keywords

  • Aneurysm
  • Embolization
  • False/diagnostic imaging
  • Pancreas
  • Pancreatic pseudocyst
  • Therapeutic

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