Gastroduodenal and pancreaticoduodenal artery aneurysms

A complication of pancreatitis causing spontaneous gastrointestinal hemorrhage

Frederic Eckhauser, J. C. Stanley, G. B. Zelenock, G. S. Borlaza, D. T. Freier, S. M. Lindenauer

Research output: Contribution to journalArticle

Abstract

Aneurysmal degeneration of gastroduodenal and pancreaticoduodenal arteries due to acute and chronic forms of pancreatitis is uncommon. Gastrointestinal hemorrhage secondary to these vascular lesions has been recognized in only 23 patients. Eight of these patients, including five with gastroduodenal and three with pancreaticoduodenal artery aneurysms, have been encountered at the University of Michigan Medical Center. Selective mesenteric arteriography provided the greatest diagnostic specificity. computerized axial tomography was of discriminate diagnostic value in two patients. Seven of eight patients underwent surgical therapy: transcystic arterial ligation and external pancreatic pseudocyst drainage (four), arterial ligation with abscess drainage (two), and pancreaticoduodenectomy (one). Three patients died after operation from intraabdominal sepsis as well as delayed arterial hemorrhage. Earlier operative intervention, dictated by the patient's clinical status and relevant anatomic findings, may improve survival rates in this complex disease state.

Original languageEnglish (US)
Pages (from-to)335-344
Number of pages10
JournalSurgery
Volume88
Issue number3
StatePublished - 1980
Externally publishedYes

Fingerprint

Gastrointestinal Hemorrhage
Pancreatitis
Aneurysm
Arteries
Ligation
Drainage
Pancreatic Pseudocyst
Pancreaticoduodenectomy
Chronic Pancreatitis
Abscess
Blood Vessels
Sepsis
Angiography
Survival Rate
Tomography
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Eckhauser, F., Stanley, J. C., Zelenock, G. B., Borlaza, G. S., Freier, D. T., & Lindenauer, S. M. (1980). Gastroduodenal and pancreaticoduodenal artery aneurysms: A complication of pancreatitis causing spontaneous gastrointestinal hemorrhage. Surgery, 88(3), 335-344.

Gastroduodenal and pancreaticoduodenal artery aneurysms : A complication of pancreatitis causing spontaneous gastrointestinal hemorrhage. / Eckhauser, Frederic; Stanley, J. C.; Zelenock, G. B.; Borlaza, G. S.; Freier, D. T.; Lindenauer, S. M.

In: Surgery, Vol. 88, No. 3, 1980, p. 335-344.

Research output: Contribution to journalArticle

Eckhauser, F, Stanley, JC, Zelenock, GB, Borlaza, GS, Freier, DT & Lindenauer, SM 1980, 'Gastroduodenal and pancreaticoduodenal artery aneurysms: A complication of pancreatitis causing spontaneous gastrointestinal hemorrhage', Surgery, vol. 88, no. 3, pp. 335-344.
Eckhauser, Frederic ; Stanley, J. C. ; Zelenock, G. B. ; Borlaza, G. S. ; Freier, D. T. ; Lindenauer, S. M. / Gastroduodenal and pancreaticoduodenal artery aneurysms : A complication of pancreatitis causing spontaneous gastrointestinal hemorrhage. In: Surgery. 1980 ; Vol. 88, No. 3. pp. 335-344.
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