Wang Dennis, Yip Gordon, Szalay David Anthony, Moayyedi Paul
McMaster University Adult Gastroenterology Residency Program, Hamilton, Ontario, Canada.
Department of Radiology, McMaster University, Hamilton, Ontario, Canada.
ACG Case Rep J. 2023 Jul 10;10(7):e01098. doi: 10.14309/crj.0000000000001098. eCollection 2023 Jul.
Hepatic artery pseudoaneurysms are a rare complication of pancreatitis, and their rupture and bleeding cause high mortality. We present the case of a 76-year-old woman with fibromuscular dysplasia who developed a new left hepatic artery pseudoaneurysm within a week of her first episode of acute pancreatitis and later suffered an acute pseudoaneurysm bleed successfully treated with transcatheter coil embolization. To the best of our knowledge, this is the first case reported of a patient with fibromuscular dysplasia with pancreatitis-related pseudoaneurysm formation. One must consider pseudoaneurysms and associated bleeding as complications of acute pancreatitis because prompt recognition can lead to timely management.
肝动脉假性动脉瘤是胰腺炎的一种罕见并发症,其破裂和出血会导致高死亡率。我们报告了一例76岁患有纤维肌发育不良的女性病例,该患者在首次急性胰腺炎发作后一周内出现了新的左肝动脉假性动脉瘤,随后发生急性假性动脉瘤出血,经导管弹簧圈栓塞治疗成功。据我们所知,这是首例报告的患有纤维肌发育不良且发生胰腺炎相关假性动脉瘤形成的患者。必须将假性动脉瘤及相关出血视为急性胰腺炎的并发症,因为及时识别可导致及时处理。