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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access July 8, 2014

Left gastric artery pseudoaneurysm as a sequelae of chronic pancreatitis: recognizing a life-threatening complication

Deepak Pattanshetty and Pradeep Bhat
From the journal Open Medicine


Left gastric artery pseudoaneurysm is a rare but important life-threatening complication of chronic pancreatitis. We report a case of a 54-year-old male with chronic pancreatitis who presented with history of severe abdominal pain. Following an initial suspicion of acute pancreatitis, a computed tomography of abdomen was obtained that showed a large left gastric artery pseudoaneurysm (4×4 cm) with circumferential thrombosis. The patient then underwent successful angiographic coiling of the aneurysm, thus preventing a potentially life-threatening hemorrhage. In conclusion, in patients with a history of chronic pancreatitis who present with abdominal pain, a high index of suspicion should be maintained for alternate causes of abdominal pain such as visceral aneurysms involving left gastric artery. Early recognition is critical and consequences of missing these lesions can be catastrophic.

[1] Pasha SF, Gloviczki P, Stanson AW, et al. Splanchnic artery aneurysms. Mayo Clin Proc. 2007;82(4):472–479 in Google Scholar PubMed

[2] Shanley CJ, Shah NL, Messina LM. Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Ann Vasc Surg. 1996;10:506–515 in Google Scholar PubMed

[3] Panayiotopoulos YP, Assadourian R, Taylor PR. Aneurysms of the visceral and renal arteries. Ann R Coll Surg Engl. 1996;78:412–419 Search in Google Scholar

[4] Borioni R, Garofalo M, Innocenti P, et al. Haemoperitoneum due to spontaneous rupture of an aneurysm of the left gastroepiploic artery. J Cardiovasc Surg. 1999;40:63–64 Search in Google Scholar

[5] Funahashi S, Yukizane T, Yano K, et al. An aneurysm of the right gastroepiploic artery. J Cardiovasc Surg. 1997;38:385–388 Search in Google Scholar

[6] Rokke O, Sondenaa K, Amundsen SR, et al. Successful management of Eleven Splanchnic Artery aneurysms. Eur J Surg. 1997;163:411–417 Search in Google Scholar

[7] Andriani A, Zullo A, Recine U, et al. Splenic artery thrombosis and rupture of left gastric artery aneurysm: an unusual cause of acute abdominal pain. Indian J Gastroenterol. 2013;32(1) 10.1007/s12664-012-0290-1Search in Google Scholar PubMed

[8] Chen JS, Chuang SC, Wang SN, et al. Natural course of splenic artery aneurysm with associated spontaneous splenorenal shunt in non-cirrhotic liver: an 18-year observational followup and review of literature. Kaohsiung J Med Sci. 2013;29(1):55–58 in Google Scholar PubMed

[9] De Angelis M, Vogel C, Horowitz B, et al. Ruptured Gastroepiploic Aneursym. J Clin Gastroenterol. 1994;18:261–262 in Google Scholar PubMed

[10] Walter M, Opitz I, Lohr G. Symptomatic aneurysm of the right gastroepiploic artery. Chirurg. 2001;72:437–440 in Google Scholar PubMed

[11] Fukatsu K, Ueda K, Maeda H, et al. A case of chronic pancreatitis in which endoscopic ultrasonography was effective in the diagnosis of a pseudoaneurysm. World J Gastrointest Endosc. 2012 Jul 16;4(7):335–338 in Google Scholar PubMed PubMed Central

[12] Bogdanov M, Perisic M, Jurisic V, et al. Ultrasonographic examination of the liver circulation in patients with liver metastasis from colorectal cancer. J BUON. 2010;15(2):378–381 Search in Google Scholar

[13] Ruiz-Tovar J, Martınez-Molina E, Morales V, et al. Evolution of the therapeutic approach of visceral artery aneurysms. Scand J Surg. 2007;96:308–313 10.1177/145749690709600409Search in Google Scholar PubMed

[14] Pulli R, Dorigo W, Troisi N, et al. Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg. 2008;48:334–342 in Google Scholar PubMed

[15] Saltzberg SS, Maldonado TS, Lamparello PJ, et al. Is endovascular therapy the preferred treatment for all visceral artery aneurysms? Ann Vasc Surg. 2005;19:507–515 in Google Scholar PubMed

[16] Moyer HR, Hiramoto JS, Wilson MW, et al. Stentgraft repair of a splenic artery aneu-rysm. J Vasc Surg. 2005;41:897 in Google Scholar PubMed

[17] Tulsyan N, Kashyap VS, Greenberg RK, et al. The endovascular management of visceral artery aneurysms and pseu-doaneurysms. J Vasc Surg. 2007;45:276–283 in Google Scholar PubMed

[18] Piffaretti G, Tozzi M, Carrafiello G, et al. A case of gastroduodenal artery aneurysm in a HIV-positive patient treated by combined percutaneous thrombin injection and endovascular coil embolization. J Cardiovasc Surg. 2008;49:659–661 Search in Google Scholar

Published Online: 2014-7-8
Published in Print: 2014-6-1

© 2014 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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