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  • Title: [Massive pseudocysto-jejunal hemorrhage caused by rupture of pseudoaneurysm of the splenic artery].
    Author: Flati G, Negro P, Porowska B, Flati D, Salvatori F, Saputelli A, Talarico A, Hidalgo M, Carboni M.
    Journal: Rev Esp Enferm Dig; 1994 Dec; 86(6):918-21. PubMed ID: 7873270.
    Abstract:
    The authors report a case of massive intestinal hemorrhage caused by rupture of a splenic artery pseudoaneurysm into a pseudocystojejunostomy. The pathologic and clinical features of this unusual complication of pancreatitis are discussed. One hundred and seventy one cases of major bleeding associated with pseudocysts and/or pseudoaneurysms have been reported in the literature during the period 1989-May 1991. Acute and chronic pancreatitis may be the underlying etiologies and the overall mortality rate of this complication is 35.1%. According to the authors experience, angiographic localization of the bleeding sources and steel coil embolization play a key role in the diagnostic and therapeutic approach to what is generally regarded as the most rapidly lethal sequelae of pancreatitis.
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