Ahmad Md S, Sahoo Biswajit, Das Kanishka, Pati Akash
Pediatric Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Radiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus. 2023 Jan 23;15(1):e34073. doi: 10.7759/cureus.34073. eCollection 2023 Jan.
A left gastric artery pseudoaneurysm is a rare complication of pancreatitis and is associated with significant morbidity and mortality. We report a 14-year-old male with severe abdominal pain and a palpable upper abdominal mass, earlier diagnosed as chronic idiopathic calcifying pancreatitis, and awaiting surgical intervention. Computed tomography showed a pseudocyst and a pseudoaneurysm in the lesser sac near the left gastric artery. The patient underwent successful angiographic coiling of the left gastric artery and definitive pancreatic surgery weeks thereafter. The early detection and interventional radiologic management of the vascular complication averted a life-threatening hemorrhage without emergency surgery in a pediatric patient.
胃左动脉假性动脉瘤是胰腺炎的一种罕见并发症，与显著的发病率和死亡率相关。我们报告一名14岁男性，有严重腹痛和可触及的上腹部肿块，早期诊断为慢性特发性钙化性胰腺炎，正在等待手术干预。计算机断层扫描显示在胃左动脉附近的小网膜囊内有一个假性囊肿和一个假性动脉瘤。患者成功接受了胃左动脉血管造影栓塞术，数周后进行了确定性胰腺手术。血管并发症的早期发现和介入放射学处理避免了一名儿科患者在未进行急诊手术的情况下发生危及生命的出血。
