Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

22 April 2019 : Case report  Japan

Inferior Pancreaticoduodenal Artery Aneurysm Related with Groove Pancreatitis Persistently Repeated Hemosuccus Pancreaticus Even After Coil Embolization

Management of emergency care, Patient complains / malpractice, Rare disease

Tomohide Hori1ABCDEF*, Hidekazu Yamamoto1DF, Hideki Harada1DF, Michihiro Yamamoto1DF, Masahiro Yamada1DF, Takefumi Yazawa1DF, Masaki Tani2DF, Yasuyuki Kamada2F, Ryotaro Tani1F, Ryuhei Aoyama1F, Yudai Sasaki1F, Masazumi Zaima1ADF

DOI: 10.12659/AJCR.914832

Am J Case Rep 2019; 20:567-574

Abstract

BACKGROUND: Aneurysm of the inferior pancreaticoduodenal artery (IPDA) is rare among visceral artery aneurysms. Aneurysm and/or pancreatitis may have a causal relation with hemosuccus pancreaticus (HP). HP causes an obscure bleeding in the digestive tract, and this rare disease may lead to life-threatening condition. Although interventional radiology is generally employed as the initial treatment for visceral aneurysms, aneurysmic recanalization is a critical problem.

CASE REPORT: A 58-year-old male was incidentally diagnosed as groove pancreatitis, and his pancreatitis was successfully treated by conservative management. One year later, an IPDA aneurysm was detected in image studies. Gastrointestinal bleeding was objectively observed, and a diagnosis of asymptomatic HP was made. Arterio-pancreatic duct fistula was suspected, but was not identified. Coil embolization was successfully completed. Six months later, he suffered a relapse of HP, and visited our emergency unit. Pseudocystic lesion around metallic coils were confirmed. Subtotal stomach-preserving pancreaticoduodenectomy without any extended resections was performed. Intentional dissections of nerve plexuses and lymph nodes were all waived. Even a pancreatography of the resected specimen did not clarify his arterio-pancreatic duct fistula. He was discharged at postoperative day 10, and smoothly returned to his work.

CONCLUSIONS: Pancreatic juice-related complications after advanced pancreaticoduodenectomy for malignancies are often intractable. However, simple pancreaticoduodenectomy which omits extended resections and intentional dissections is safe and feasible for benign diseases. After the initial interventional radiology for pancreatic aneurysms, an elective pancreatic surgery should be considered to avoid unwanted recanalization and refractory HP.

Keywords: Aneurysm, general surgery, Hemorrhage, Pancreaticoduodenectomy, Radiology, Interventional, Aneurysm, Ruptured, conservative treatment, Duodenum, Embolization, Therapeutic, Follow-Up Studies, Middle Aged, Pancreas, Pancreatitis, Chronic, Risk Assessment, Treatment Outcome

Add Comment 0 Comments

1082 17

In Press

25 May 2023 : Case report  Latvia

Neuroendocrine Carcinoma of the Extrahepatic Bile Ducts: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.939239  

24 May 2023 : Case report  South Africa

An Initially Missed Diagnosis of Venous Thromboembolic Phenomenon in Adult-Onset Still’s Disease: A Case Re...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939520  

24 May 2023 : Case report  Italy

Successful Surgical Removal of a Giant Serous Ovarian Cyst in a 52-Year-Old Woman with Presurgical Body Mas...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939697  

23 May 2023 : Case report  Japan

Successful Noninvasive Respiratory Management of an Infant with Bilateral Choanal Atresia and a Supernumera...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939642  

Most Viewed Current Articles

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

07 Dec 2021 : Case report  USA

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923