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  • Pancreatitis-associated pseudoaneurysm of the splenic artery presenting as lower gastrointestinal bleeding: treatment with transcatheter embolisation

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Unusual presentation of more common disease/injury
Pancreatitis-associated pseudoaneurysm of the splenic artery presenting as lower gastrointestinal bleeding: treatment with transcatheter embolisation
  1. Bedros Taslakian1,
  2. Mohammad Khalife2,
  3. Walid Faraj2,
  4. Deborah Mukherji3,
  5. Ali Haydar1
  1. 1Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon
  2. 2Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
  3. 3Division of Hematology-Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
  1. Correspondence to Dr Ali Haydar, ah24{at}aub.edu.lb; bt05{at}aub.edu.lb

Summary

Pancreatitis is a known cause of pseudoaneurysms of the peripancreatic arteries, which can rarely rupture into various adjacent structures and become a source of life-threatening bleeding. The management is challenging and requires an individualised approach and multidisciplinary care. Herein, we present the case of a 24-year-old man in whom a splenic pseudoaneurysm ruptured into the adjacent infected pseudocyst, communicating with the colon by a fistulous tract, causing massive lower gastrointestinal bleeding. This was successfully managed by transcatheter arterial embolisation (TAE).

https://doi.org/10.1136/bcr-2012-007403

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