Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis

Hemosuccus pancreaticus, which is generally due to the rupture of a splenic artery aneursym into the pancreatic duct, is a rare cause of intermittent upper gastrointestinal hemorrhage. Segmental arterial mediolysis (SAM) is a rare arteriopathy. We report a 53-year-old man with hemosuccus pancreaticu...

Full description

Saved in:
Bibliographic Details
Published in:Journal of vascular surgery 2011-11, Vol.54 (5), p.1488-1491
Main Authors: Obara, Hideaki, MD, PhD, Matsubara, Kentaro, MD, Inoue, Masanori, MD, Nakatsuka, Seishi, MD, PhD, Kuribayashi, Sachio, MD, PhD, Kitagawa, Yuko, MD, PhD
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - etiology
Aneurysm, Ruptured - therapy
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Diseases of the aorta
Embolization, Therapeutic
Gastrointestinal Hemorrhage - diagnostic imaging
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Humans
Male
Medical sciences
Melena - etiology
Middle Aged
Pancreatic Diseases - diagnostic imaging
Pancreatic Diseases - etiology
Pancreatic Diseases - therapy
Peripheral Vascular Diseases - complications
Peripheral Vascular Diseases - diagnostic imaging
Peripheral Vascular Diseases - therapy
Splenic Artery - diagnostic imaging
Stents
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Hemosuccus pancreaticus, which is generally due to the rupture of a splenic artery aneursym into the pancreatic duct, is a rare cause of intermittent upper gastrointestinal hemorrhage. Segmental arterial mediolysis (SAM) is a rare arteriopathy. We report a 53-year-old man with hemosuccus pancreaticus due to a splenic artery aneurysm associated with SAM. The patient, who also had a celiac artery aneurysm affected by SAM, was successfully treated by both coil embolization and aortic stent grafting for complete coverage of the celiac artery. SAM is a very rare cause of hemosuccus pancreaticus, and endovascular treatment may be favorable for hemosuccus pancreaticus.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.04.053