Visceral Vessel Erosion Associated with Pancreatitis: Case Reports and a Review of the Literature

Thomas R. Gadacz, Donald Trunkey, Richard F. Kieffer

Research output: Contribution to journalArticle

Abstract

Visceral artery erosion is an uncommon but disasterous complication of pancreatitis. When gastrointestinal bleeding or severe intra-abdominal hemorrhage is associated with pancreatitis and the usual sources of bleeding are not detected by endoscopy or barium studies, erosion of a visceral vessel should be suspected. We present nine cases and an additional 44 cases from previous reports are reviewed. A palpable abdominal mass was present in 59% of the patients; however, a pseudocyst was present in 78%. Arteriography was performed in 15 patients and the source of bleeding was evident in 14. The splenic artery was the most common site of bleeding, although the other branches of the celiac axis and the middle colic artery have been involved. Successful treatment consisted of ligation of the bleeding vessel and, if present, drainage of the pseudocyst. Depending on the location of the vessel and the pseudocyst, major resections may be necessary. When bleeding and the pancreatic inflammatory process involved the colon, ligation of the bleeding site, drainage of the area, and colostomy was the most successful form of treatment.

Original languageEnglish (US)
Pages (from-to)1438-1440
Number of pages3
JournalArchives of Surgery
Volume113
Issue number12
DOIs
StatePublished - 1978

Fingerprint

Pancreatitis
Hemorrhage
Ligation
Drainage
Arteries
Splenic Artery
Colostomy
Colic
Barium
Abdomen
Endoscopy
Angiography
Colon
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Visceral Vessel Erosion Associated with Pancreatitis : Case Reports and a Review of the Literature. / Gadacz, Thomas R.; Trunkey, Donald; Kieffer, Richard F.

In: Archives of Surgery, Vol. 113, No. 12, 1978, p. 1438-1440.

Research output: Contribution to journalArticle

Gadacz, Thomas R. ; Trunkey, Donald ; Kieffer, Richard F. / Visceral Vessel Erosion Associated with Pancreatitis : Case Reports and a Review of the Literature. In: Archives of Surgery. 1978 ; Vol. 113, No. 12. pp. 1438-1440.
@article{5472f9acb1c64150a9bbfa38a600dfb4,
title = "Visceral Vessel Erosion Associated with Pancreatitis: Case Reports and a Review of the Literature",
abstract = "Visceral artery erosion is an uncommon but disasterous complication of pancreatitis. When gastrointestinal bleeding or severe intra-abdominal hemorrhage is associated with pancreatitis and the usual sources of bleeding are not detected by endoscopy or barium studies, erosion of a visceral vessel should be suspected. We present nine cases and an additional 44 cases from previous reports are reviewed. A palpable abdominal mass was present in 59{\%} of the patients; however, a pseudocyst was present in 78{\%}. Arteriography was performed in 15 patients and the source of bleeding was evident in 14. The splenic artery was the most common site of bleeding, although the other branches of the celiac axis and the middle colic artery have been involved. Successful treatment consisted of ligation of the bleeding vessel and, if present, drainage of the pseudocyst. Depending on the location of the vessel and the pseudocyst, major resections may be necessary. When bleeding and the pancreatic inflammatory process involved the colon, ligation of the bleeding site, drainage of the area, and colostomy was the most successful form of treatment.",
author = "Gadacz, {Thomas R.} and Donald Trunkey and Kieffer, {Richard F.}",
year = "1978",
doi = "10.1001/archsurg.1978.01370240060009",
language = "English (US)",
volume = "113",
pages = "1438--1440",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "12",

}

TY - JOUR

T1 - Visceral Vessel Erosion Associated with Pancreatitis

T2 - Case Reports and a Review of the Literature

AU - Gadacz, Thomas R.

AU - Trunkey, Donald

AU - Kieffer, Richard F.

PY - 1978

Y1 - 1978

N2 - Visceral artery erosion is an uncommon but disasterous complication of pancreatitis. When gastrointestinal bleeding or severe intra-abdominal hemorrhage is associated with pancreatitis and the usual sources of bleeding are not detected by endoscopy or barium studies, erosion of a visceral vessel should be suspected. We present nine cases and an additional 44 cases from previous reports are reviewed. A palpable abdominal mass was present in 59% of the patients; however, a pseudocyst was present in 78%. Arteriography was performed in 15 patients and the source of bleeding was evident in 14. The splenic artery was the most common site of bleeding, although the other branches of the celiac axis and the middle colic artery have been involved. Successful treatment consisted of ligation of the bleeding vessel and, if present, drainage of the pseudocyst. Depending on the location of the vessel and the pseudocyst, major resections may be necessary. When bleeding and the pancreatic inflammatory process involved the colon, ligation of the bleeding site, drainage of the area, and colostomy was the most successful form of treatment.

AB - Visceral artery erosion is an uncommon but disasterous complication of pancreatitis. When gastrointestinal bleeding or severe intra-abdominal hemorrhage is associated with pancreatitis and the usual sources of bleeding are not detected by endoscopy or barium studies, erosion of a visceral vessel should be suspected. We present nine cases and an additional 44 cases from previous reports are reviewed. A palpable abdominal mass was present in 59% of the patients; however, a pseudocyst was present in 78%. Arteriography was performed in 15 patients and the source of bleeding was evident in 14. The splenic artery was the most common site of bleeding, although the other branches of the celiac axis and the middle colic artery have been involved. Successful treatment consisted of ligation of the bleeding vessel and, if present, drainage of the pseudocyst. Depending on the location of the vessel and the pseudocyst, major resections may be necessary. When bleeding and the pancreatic inflammatory process involved the colon, ligation of the bleeding site, drainage of the area, and colostomy was the most successful form of treatment.

UR - http://www.scopus.com/inward/record.url?scp=0018170269&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018170269&partnerID=8YFLogxK

U2 - 10.1001/archsurg.1978.01370240060009

DO - 10.1001/archsurg.1978.01370240060009

M3 - Article

C2 - 310667

AN - SCOPUS:0018170269

VL - 113

SP - 1438

EP - 1440

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 12

ER -