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Clin J Gastroenterol 2019 Apr 23. Epub 2019 Apr 23.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

Pancreatic pseudocysts (PPs) can be accompanied by infection, pseudoaneurysm ruptures, and fistulae to other organs, which can be fatal without appropriate treatment. Herein, we present the case of an 82-year-old man with PPs accompanied by infection, pseudoaneurysm rupture, and pseudocystocolonic fistula that were managed via multidisciplinary treatment. Computed tomography (CT) revealed two inflamed PPs, one each in the pancreatic head and tail. Read More

Ann Transplant 2019 Apr 12;24:199-207. Epub 2019 Apr 12.

Department of Gastroenterological Surgery and Transplantation, Medical Centre of Postraguade Medicine, Warsaw, Poland.

BACKGROUND Vascular failures are serious complications in pancreas transplantation. Open surgery is a reliable and quick intervention method, but it carries a risk of infection and bleeding. Endovascular procedures are rare among patients after a SPK, but are becoming more frequently used. Read More

Rev Assoc Med Bras (1992) 2019 Feb;65(2):123-126

Department of Radiology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, Korea.

Hemorrhagic pseudocysts with pseudoaneurysms are a rare and fatal complication of chronic pancreatitis due to the erosion of pancreatic to peripancreatic arteries. The timing of the rupture cannot be accurately predicted, but prompt diagnosis and management are essential to prevent further bleeding. We describe the case of a 68-year-old man who presented acute epigastric pain and anemia and had a history of chronic pancreatitis with a pseudocyst. Read More

Kaohsiung J Med Sci 2019 Mar 19. Epub 2019 Mar 19.

Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Case Rep Gastrointest Med 2019 6;2019:8528906. Epub 2019 Feb 6.

Clinical Assistant Professor, Department of Gastroenterology, Aurora St. Luke's Medical Center, 2900 W. Oklahoma Avenue, Milwaukee, WI 53215, USA.

Large upper gastro intestinal (GI) bleeding can be life-threatening. Splenic artery pseudoaenurysm (SAP) is rare but can cause massive upper GI bleeding. We report a case of a 57-year-old woman who had massive upper GI bleeding from SAP eroding into distal duodenum. Read More

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.

Haemosuccus pancreaticus (HP) is an exceedingly rare cause of lower gastrointestinal (GI) bleed where pseudoaneurysm of the peripancreatic vessels ruptures into a pancreatic pseudocyst and blood travel through the pancreatic duct, thereby, draining into GI tract via the ampulla of Vater. We present a case of 65-year-old African-American woman with a history of alcohol abuse presented with melena for 1 day. The contrast-enhanced CT of abdomen/pelvis showed peripancreatic vascular pseudoaneurysm with active haemorrhage. Read More

Cardiovasc Intervent Radiol 2019 Feb 6. Epub 2019 Feb 6.

Interventional Radiology, Freeman Hospital, Freeman Road, Newcastle upon Tyne, NE7 7DN, UK.

Pseudoaneurysms after visceral transplantation represent a significant risk to patients. We report the successful treatment of three transplant (pancreas, liver and kidney) artery anastomotic pseudoaneurysms using physician-modified fenestrated endovascular stent grafts. In all cases, surgical repair was considered high risk and would have compromised the arterial supply to the graft. Read More

Ann Vasc Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Pseudoaneurysm after pancreas transplantation has a reported incidence of 1.4 to 8.0% and may be caused by perioperative infection. Read More

Pol J Radiol 2018 5;83:e510-e513. Epub 2018 Dec 5.

Department of Internal Medicine, Fuji City General Hospital, Shizuoka, Japan.

Purpose: Pancreatitis-related pseudoaneurysm, a potentially life-threatening condition, is treated utilising endovascular management as a first choice and alternatively by percutaneous direct puncture of the aneurysm and embolisation.

Case Report: A 50-year-old man with alcohol-induced necrotic pancreatitis underwent transcatheter arterial embolisation (TAE) for multiple pancreatic pseudoaneurysms. TAE failed in one enlarged aneurysm in the pancreatic body, and percutaneous direct needle puncture and coagulation using thrombin was planned. Read More

CVIR Endovasc 2018 28;1(1). Epub 2018 Jun 28.

2University College London Hospital, Euston Road, London, NW1 2BU UK.

Background: Haemobilia, defined as bleeding from the biliary tree, is a rare entity. The most common cause of haemobilia is iatrogenic trauma, which accounts for 70% of cases. Pseudoaneurysms of the portal vein are an extremely rare cause of haemobilia with only four reported cases to date. Read More

J Radiol Case Rep 2018 May 31;12(5):12-18. Epub 2018 May 31.

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, via Vetoio, L'Aquila, Italy.

Pancreatic pseudoaneurysms represent relatively rare but potentially lethal complications of acute or chronic pancreatitis, involving several visceral arteries. Due to their intrinsic instability and subsequent high risk of massive bleeding, these lesions require prompt treatment, regardless of the size of the pseudoaneurysm. First option of treatment is today represented by transcatheter embolization; this treatment, in fact, shows higher rates of clinical and technical success and lower recurrence rates than conventional surgery. Read More

Transplant Proc 2018 Dec 29;50(10):4087-4089. Epub 2018 May 29.

Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN. Electronic address:

Background: Vascular complications represent the most common cause of early graft failure after pancreatic transplantation (PT). Pseudoaneurysms are uncommon vascular complications that usually present within the first year post transplantation.

Case Report: A 49-year-old man with history of type 1 diabetes mellitus presented for evaluation with a 2-day history of painless hematochezia. Read More

Radiol Case Rep 2019 Jan 29;14(1):133-135. Epub 2018 Oct 29.

Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya 464-8681, Japan.

Superior mesenteric artery (SMA) pseudoaneurysms are rare but fatal. Surgical repair is an ideal treatment; however, it is inappropriate in patients with SMA pseudoaneurysm due to advanced cancer, and endovascular therapy is an alternative treatment for nonsurgical candidates. Here, we report a case of SMA pseudoaneurysm in a patient with advanced pancreatic cancer, which was successfully treated with the placement of a biliary covered stent. Read More

Turk J Surg 2018 3;34(3):256-258. Epub 2018 Jan 3.

Department of General Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey.

Of all ingested foreign bodies, 2.4% comprise of sewing needles. Through perforation of gastrointestinal tract, which occurs in 1% of cases, they can migrate into the liver and pancreas. Read More

Case Rep Gastroenterol 2018 May-Aug;12(2):513-518. Epub 2018 Aug 28.

Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.

The formation of pancreatic pseudocysts and (pseudo-)aneurysms of intestinal vessels are rare but life-threatening complications in acute and chronic pancreatitis. Here we report the rare case of a patient suffering from chronic pancreatitis with an arterial pseudoaneurysm within a pancreatic pseudocyst and present its successful therapeutic management by angioembolization to prevent critical bleeding. A 67-year-old male with a history of chronic pancreatitis presented with severe acute abdominal pain and vomiting to the emergency department. Read More

Clin J Gastroenterol 2019 Feb 28;12(1):88-91. Epub 2018 Aug 28.

Department of Vascular and Interventional Radiology, Jackson Memorial Medical Center, Miami, FL, USA.

Bleeding from the pancreatic duct is a rare source of gastrointestinal hemorrhage and is referred to as hemosuccus pancreaticus. Often a result of pseudoaneurysm formation from chronic pancreatitis, hemosuccus pancreaticus is a difficult diagnosis due to its peculiar clinical presentation. This is a case of a 51-year-old male with a history of chronic pancreatitis, who initially presented with a pancreatic mass found on CT scan. Read More

J Vasc Surg 2019 02 25;69(2):592-595. Epub 2018 Aug 25.

Division of Surgical Oncology, Department of Surgery, UCLA, Los Angeles, Calif.

Termed hemosuccus pancreaticus by Sandblom in 1970, hemorrhage from the pancreatic duct into the gastrointestinal tract represents a rare and challenging problem. Patients present with repeated upper gastrointestinal bleeding that is intermittent but often self-limited. In most cases, this pathophysiologic process is secondary to pancreatitis, chronic inflammation, and subsequent splenic artery pseudoaneurysm bleeding. Read More

J Surg Case Rep 2018 Aug 17;2018(8):rjy194. Epub 2018 Aug 17.

Pancreatic Unit, Morriston Hospital, ABMU Health Board, Swansea, UK.

Pseudoaneurysms in the celiac territory are mostly managed conservatively. Endovascular thromboembolisation with or without stenting is currently the standard treatment with good outcome. We present a case of a patient with chronic pancreatitis who initially underwent endovascular treatment for presumed splenic artery pseudoaneurysm and subsequently required surgical intervention for complicated unnamed artery pseudoaneurysm. Read More

JAMA Surg 2018 Oct;153(10):918-927

Division of Surgical Oncology, Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.

Importance: Technical proficiency at robotic pancreaticoduodenectomy (RPD) and video assessment are promising tools for understanding postoperative outcomes. Delayed gastric emptying (DGE) remains a major driver of cost and morbidity after pancreaticoduodenectomy.

Objective: To determine if technical variables during RPD are associated with postoperative DGE. Read More

Cardiovasc Intervent Radiol 2018 Sep 28;41(9):1346-1355. Epub 2018 Jun 28.

Department of Radiology, Shiga University of Medical Science, Seta Tsukinowa, Otsu, Shiga, 520-2192, Japan.

Purpose: We aimed to estimate the usefulness of transcatheter arterial embolization (TAE) in patients with postoperative abdominal hemorrhage and to evaluate the effects of pancreatic fistula on clinical outcomes and angiographic findings.

Materials And Methods: We enrolled 22 patients (20 males and 2 females; mean age 63 years; range 25-86 years), who underwent transarterial angiography for postoperative hemorrhage after abdominal surgery. This group corresponded to 28 procedures. Read More

Cureus 2018 Apr 20;10(4):e2512. Epub 2018 Apr 20.

Internal Medicine Residency, Florida Hospital-Orlando, Orlando, USA.

Pancreatic pseudocyst is a complication that can arise in both acute and chronic pancreatitis. Overtime, this encapsulated enzyme-rich fluid collection may erode into surrounding vasculature and result in the formation of a pseudoaneurysm. Pseudoaneurysms can rupture into the gastrointestinal tract and present as upper, lower, and biliary bleeding. Read More

Pancreas 2018 07;47(6):e34-e35

Department of Gastroenterology and Hepatology Faculty of Medicine Center for Digestive Disease and Division of Endoscopy University of Miyazaki Hospital Miyazaki, Japan Department of Medical Oncology University of Miyazaki Hospital Miyazaki, Japan.

Urol Ann 2018 Apr-Jun;10(2):225-228

Department of Radiology (Interventional Radiology Unit), Hepato-Biliary-Pancreatic and Transplant Center, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, Lisbon, Portugal.

Percutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%-3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. Read More

Khirurgiia (Mosk) 2018(4):4-16

Vishnevsky Institute of surgeru of Healthcare Ministry of the Russian Federation, Moscow, Russia.

Aim: To evaluate an effectiveness of endovascular techniques in pancreatic surgery.

Material And Methods: For the period 1995-2017 at Vishnevsky Institute of Surgery endovascular treatment (EVT) was applied in 51 patients with chronic pancreatitis complicated by false aneurysms (FA) and postoperative hemorrhage after pancreatectomy. Various methods of embolization and stenting were used in 24 and 11 cases respectively in order to exclude FA of celiac trunk and superior mesenteric artery from blood flow. Read More

J Surg Case Rep 2018 Mar 31;2018(3):rjy048. Epub 2018 Mar 31.

Department of Surgery, UAMS, Little Rock, AR 72204, USA.

A 67-year-old male presented with acute pancreatitis secondary to gallstones, also known as acute biliary pancreatitis, and subsequently developed gastric outlet obstruction and was transferred to our hospital. A gastro-jejunal feeding tube was placed and an open cholecystectomy was performed. The patient had a pancreatic drain placed for interval increase in pancreatic necrosis and then nearly exsanguinated from gastroduodenal artery pseudoaneurysm bleed. Read More

BMJ Case Rep 2018 Apr 11;2018. Epub 2018 Apr 11.

Department of Gastroenterology, Ipswich Hospital NHS Trust, Ipswich, UK.

A 79-year-old man was admitted electively for investigation of weight loss. While he was an inpatient, he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (>2000) and deranged liver function tests. A contrast CT angiography showed a large haematoma adjacent to the duodenum, spreading in the retroperitoneal space, arising from a 2 cm bleeding pseudoaneurysm in the region of the gastroduodenal artery. Read More

Indian J Surg 2018 Feb 28;80(1):87-89. Epub 2017 Jun 28.

Department of Surgery and MIS, Rabindranath Tagore International Institute of Cardiac Sciences, 124, Mukundapur, EM Bypass, Kolkata, 700092 India.

Pseudoaneurysm (PA) of the cystic artery is rare. Most of the reported cases are iatrogenic and develop secondary to liver biopsy, laparoscopic cholecystectomy, ERCP, and liver transplant. Other reported causes include trauma, malignancy, arteriovenous malformations, and inflammation in the hepatobiliary and pancreatic system. Read More

Int J Surg Case Rep 2017 21;41:434-437. Epub 2017 Nov 21.

Department of Gastroenterological Surgery, Iwate Prefectural Central Hospital, Iwate, 020-0066, Japan. Electronic address:

Introduction: Pseudoaneurysm is a serious complication after pancreatic surgery, which mainly depends on the presence of a preceding pancreatic fistula. Postpancreatectomy hemorrhage following total pancreatectomy is a rare complication due to the absence of a pancreatic fistula. Here we report an unusual case of massive gastrointestinal bleeding due to right hepatic artery (RHA) pseudoaneurysm following total remnant pancreatectomy. Read More

Endosc Ultrasound 2019 Jan-Feb;8(1):58-59

Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa City, Chiba Prefecture, Japan.

Clin Gastroenterol Hepatol 2018 Sep 21;16(9):1521-1528. Epub 2018 Feb 21.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado. Electronic address:

Background & Aims: There have been few studies that compared the effects of lumen-apposing metal stents (LAMS) and double-pigtail plastic stents (DPS) in patients with peripancreatic fluid collections from pancreatitis. We aimed to compare technical and clinical success and adverse events in patients who received LAMS vs DPS for pancreatic pseudocysts and walled-off necrosis.

Methods: We performed a retrospective study of endoscopic ultrasound-mediated drainage in 149 patients (65% male; mean age, 47 y) with pancreatic pseudocysts or walled-off necrosis (97 received LAMS and 152 received DPS), from January 2011 through September 2016 at a single center. Read More

J Med Ultrason (2001) 2018 Jul 30;45(3):515-523. Epub 2018 Jan 30.

Department of Diagnostic Pathology, Akita Red Cross Hospital, Akita, Japan.

Splenic artery pseudoaneurysm (SAPA) is a relatively infrequently encountered but clinically important vascular change, because it carries a high risk of rupture that warrants prompt treatment regardless of its size. Thus, sufficient knowledge is indispensable when seeing chronic pancreatitis patients or post-traumatic patients. Here, we report two such cases. Read More

HPB (Oxford) 2018 05 1;20(5):448-455. Epub 2018 Feb 1.

Division of GI Surgical Oncology, University of Pittsburgh Medical Center, USA. Electronic address:

Background: Postpancreatectomy hemorrhage (PPH) is a serious and life threatening complication following pancreaticoduodenectomy. The objective was to determine whether PPH incidence is elevated in a series of robotic pancreatoduodenectomy (RPD) from a high-volume institution and if video review can identify technical factors associated with PPH.

Methods: A retrospective review of RPDs from October 2008 to March 2016 was performed. Read More

J Clin Anesth 2018 03 4;45:53-54. Epub 2018 Jan 4.

Department of Anesthesiology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.

J Gastrointest Surg 2018 Jul 18;22(7):1297-1298. Epub 2017 Dec 18.

Cirurgia Geral da Unidade Local de Saúde do Alto Minho - Hospital de Santa Luzia, Estrada de Santa Luzia, Viana do Castelo, Portugal.

Splenic artery pseudoaneurysm is an extremely rare entity, although it is the most frequent location of visceral pseudoaneurysms. Trauma or previous pancreatitis (where the proteolytic pancreatic enzymes lead to the formation of pseudoaneurysm, as a result of enzymatic injury to the splenic artery wall) (Amico and Alves in Pancreatology 14: 144-145, 2014) is the most frequent causes. A high degree of suspicion is required for the accurate diagnosis. Read More

Int J Surg Case Rep 2018 6;42:82-84. Epub 2017 Dec 6.

Khyber Teaching Hospital Peshawar, 25120, Pakistan. Electronic address:

Background And Aim: Pseudoaneurysms of the gastroduodenal artery (GDA) are rare and mostly associated with pancreatitis. However, they can occur as a possible complication following gastric or pancreatic surgery and thus prior recognition and prompt treatment is mandatory (Lee et al., 2009 [1]). Read More

Tech Vasc Interv Radiol 2017 Dec 10;20(4):230-236. Epub 2017 Nov 10.

Division of Interventional Radiology and Image-guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA.

Trauma is a leading cause of death in patients under the age of 45 and generally associated with a high kinetic energy event such as a motor vehicle accident or fall from extreme elevations. Blunt trauma can affect every organ system and major vascular structure with potentially devastating effect. When we consider abdominal solid organ injury from blunt trauma, we usually think of the liver, spleen, and kidneys. Read More

Surg Clin North Am 2018 Feb;98(1):87-94

The Pancreas, Biliary and Advanced Laparoscopy Center of New York, 305 Second Avenue, New York, NY 10003, USA. Electronic address:

Complications after pancreaticoduodenal resection occur in at least 30% of patients. Most are a direct result of an intraoperative event, dissection, or anastomoses which account for the most serious morbidities, sepsis, pseudoaneurysms, and hemorrhage. Rarely, complications are due to the systemic impact of the procedure even if the procedure itself was unremarkable. Read More

Cardiovasc Intervent Radiol 2018 Mar 21;41(3):385-397. Epub 2017 Nov 21.

Department of Radiology, San Raffaele Scientific Institute, Vita Salute University, Via Olgettina, 60, 20132, Milan, Italy.

Purpose: Endovascular repair of true visceral artery aneurysms (VAAs) and pseudoaneurysms (VAPAs) with stent-grafting (SG) can simultaneously allow aneurysm exclusion and vessel preservation, minimizing the risk of ischemic complications. Our aim was to report a single-center experience on SG of visceral aneurysms, focusing on technical aspects, clinical outcome and mid-term patency.

Materials And Methods: Consecutive patients affected by VAAs-VAPAs and submitted to endovascular treatment were retrospectively reviewed, and SG cases with the self-expandable peripheral Viabahn stent-graft were analyzed (2003-2017). Read More

Abdom Radiol (NY) 2018 02;43(2):476-488

Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Pancreatic ductal adenocarcinoma is one of the leading causes of cancer-related deaths. With surgical resection being the only definitive treatment, improvements in technique has led to an increase in number of candidates undergoing resection by inclusion of borderline resectable disease patients to the clearly resectable group. Post-operative complications associated with pancreaticoduodenectomy and distal pancreatectomy include delayed gastric emptying, anastomotic failures, fistula formation, strictures, abscess, infarction, etc. Read More

Oncotarget 2017 Sep 27;8(43):73684-73692. Epub 2017 Apr 27.

Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation, Ministry of Public Health, Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province, Zhejiang Province, Hangzhou 310003, China.

Objective: To explore the diagnostic value of digital subtraction angiography (DSA) and the effectiveness of endovascular treatment for a post-pancreaticoduodenectomy hemorrhage (PPH).

Results: During the DSA examination, positive results were found in 29 patients, yielding a positive rate of 69.0%. Read More

Gastrointest Endosc 2018 Apr 10;87(4):1155-1156. Epub 2017 Oct 10.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

J Coll Physicians Surg Pak 2017 Sep;27(9):S71-S73

Department of Radiology, Civil Hospital & Dow University of Health Sciences (DUHS), Karachi.

We present a case of 36-year male patient who was referred to the Civil Hospital, Karachi with intermittent abdominal pain and vomiting for the last 2 years. The contrast enhanced CTexamination revealed changes of acute pancreatitis, CTSI 4/10, pancreatic calcifications along with 22x17 mm partially thrombosed pseudoaneurysm of gastroduodenal artery. The aberrant right hepatic artery was incidentally seen, on the arterial phase acquisition, arising directly from abdominal aorta. Read More

Rev Esp Enferm Dig 2017 Oct;109(10):727

U.G.C Aparato Digestivo, Hospital Universitario Virgen del Rocio, España.

A 41-years-old male who presents abdominal pain and rectal bleeding with acute anemization. Both the gastroscopy and the colonoscopy dont identify any potential cause of bleeding. The computed tomography (CT) shows a pseudoaneurysm of the splenic artery. Read More

Transplant Proc 2017 Oct;49(8):1956-1959

Department of Hepatobiliary, Pancreas and Transplant Surgery, Kyoto University, Kyoto, Japan.

Arterial dissection is a rare complication after liver transplantation (LT). We report a case of extensive isolated spontaneous celiac trunk dissection (ISCTD) up to the proper hepatic artery, left gastric artery, and splenic artery after living donor liver transplantation. A 48-year-old woman with cryptogenic liver cirrhosis underwent living donor liver transplantation. Read More

S Afr J Surg 2017 Sep;55(3):67

St. Luke's Medical Center Global City.

Hemosuccus pancreaticus is a rare cause of gastrointestinal bleeding in which haemorrhage occurs from the ampulla of vater via the pancreatic duct, mostly from ruptured pseudoaneurysms. Our patient is a 25-year-old Filipino male who presented with intermittent epigastric pain associated with melena and decreasing haemoglobin despite multiple blood transfusions. EGD showed erythematous gastric and duodenal mucosa with no evidence of active bleeding. Read More

GE Port J Gastroenterol 2016 Nov-Dec;23(6):309-313. Epub 2016 Aug 12.

Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Rupture of pseudoaneurysms is rare but can be life-threatening complications of acute or chronic pancreatitis, usually due to enzymatic digestion of vessel walls crossing peripancreatic fluid collections. We report the case of a 40 year-old female, with multisystemic lupus and anticoagulated for prior thrombotic events, admitted for probable cyclosporine-induced acute pancreatitis. Hemodynamic instability occurred due to abdominal hemorrhage from two pseudoaneurysms inside an acute peri-pancreatic collection. Read More

World J Gastroenterol 2017 Aug;23(30):5460-5468

Richard PT Evans, Gunraj Pall, Russel's Hall Hospital, Dudley DY1 2HQ, United Kingdom.

Pancreatitis represents nearly 3% of acute admissions to general surgery in United Kingdom hospitals and has a mortality of around 1%-7% which increases to around 10%-18% in patients with severe pancreatitis. Patients at greatest risk were those identified to have infected pancreatic necrosis and/or organ failure. This review seeks to highlight the potential vascular complications associated with pancreatitis that despite being relatively uncommon are associated with mortality in the region of 34%-52%. Read More

Pancreatology 2017 Sep - Oct;17(5):658-662. Epub 2017 Aug 19.

Department of Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India.

Background And Aims: Arterial pseudoaneurysms associated with pancreatic fluid collections (PFC's) are serious complication of pancreatitis. There is insufficient data on safety of endoscopic ultrasound (EUS) guided drainage in these patients.

Aim: To retrospectively analyze results of combination of angioembolisation followed by EUS guided transmural drainage of PFC's associated with pseudoaneurysms. Read More

J Vasc Interv Radiol 2017 Sep;28(9):1321-1323

Department of Radiology, "Madonna delle Grazie" Hospital, Matera, Italy.

Clin Transplant 2017 Oct 19;31(10). Epub 2017 Sep 19.

Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.

Arterial fistulas and pseudoaneurysms are rarely described significant arterial complications associated with pancreas transplantation that sometimes present with herald or catastrophic bleeding. We herein describe our institutional case series with a focus on management and outcomes. Of 2256 pancreas transplants, 24 arterial complications were identified in 23 recipients. Read More