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CASE REPORT
Inferior phrenic artery pseudoaneurysm complicating drug-induced acute pancreatitis
  1. Jean F Salem1,
  2. Ali Haydar2,
  3. Ali Hallal1
  1. 1Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
  2. 2Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon
  1. Correspondence to Dr Jean F Salem, js56{at}aub.edu.lb

Summary

Inferior phrenic artery (IPA) pseudoaneurysm is an extremely rare complication of chronic pancreatitis with only three cases reported in the literature so far. It is a serious condition that can be life-threatening if not diagnosed promptly. Recent advances in endovascular interventions made angiography with embolisation the modality of choice for diagnosis and treatment. We presented the first report of a case of ruptured IPA pseudoaneurysm complicating a drug-induced acute pancreatitis that was successfully treated by transcatheter arterial embolisation. Despite its rarity, rupture of pseudoaneurysm due to drug-induced pancreatitis should be suspected and included in the differential diagnosis when associated with haemodynamic instability.

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