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  • Rupture of portal vein pseudoaneurysm caused by impinging infected walled off pancreatic necrosis (WOPN): a rare complication

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Case report
Rupture of portal vein pseudoaneurysm caused by impinging infected walled off pancreatic necrosis (WOPN): a rare complication
  1. Venu Bhargava Mulpuri1,
  2. Vipan Kumar1,
  3. Surinder Rana2 and
  4. Rajesh Gupta1
  1. 1Department of Surgical Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Professor Rajesh Gupta; rajsarakshi{at}gmail.com

Abstract

We report a case of walled off pancreatic necrosis in a patient with alcoholic pancreatitis who underwent endoscopic ultrasound-guided multiple pigtail catheter drainage. 10 days later patient presented with massive haemorrhage likely due to erosion of portal vein pseudoaneurysm caused by decubitus of pigtails. Patient required emergent portal venorrhaphy to arrest haemorrhage.

  • pancreatitis
  • GI-stents
  • portal vein
  • vascular surgery
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2020-239045

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    Footnotes

    • Contributors Once the patient was recovered post surgery RG and VBM have decided to report this case. VBM collected the data and manuscript was contributed by VK and SR. Final changes in the manuscript and images were done by RG and VBM.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.