Open AccessLeft Gastric Artery Pseudoaneurysm within a Pancreatic Pseudocyst: A Case Report
Author(s) -
Budumuri Gautam V Kumar,
Prasanna Kumar Beeram,
Udit Chauhan,
Itish Patnaik,
Rohit Gupta
Publication year - 2022
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2022/50664.16255
Subject(s) - medicine , pseudoaneurysm , pancreatic pseudocyst , splenic artery , gastroduodenal artery , pancreatitis , complication , left gastric artery , pancreas , radiology , celiac artery , surgery , abdominal pain , acute pancreatitis , artery
Left gastric artery Pseudoaneurysm (PSA) is a rare vascular complication of Acute Pancreatitis (AP), resulting from erosion of the pancreatic or peripancreatic artery into a pseudocyst. The splenic artery is the commonest artery involved, followed by the gastroduodenal artery and pancreaticoduodenal arteries. The occurrence of left gastric artery PSA within a Pancreatic Pseudocyst as sequelae of AP is rare but a significant life-threatening complication. Only a few cases have been reported on left gastric PSA causing haemorrhagic pseudocyst. The authors report a case of AP in a 57-year-old male with history of significant alcohol consumption who presented with pain in abdomen of pancreatic origin. On evaluation, he had a pseudocyst in the pancreatic head. After transpapillary drainage of the pseudocyst, it started draining bloody contents. An abdominal computed tomography was obtained, which showed a small left gastric artery PSA. The patient underwent successful angiographic coil embolisation of the PSA.