Abstract
Introduction: Hemorrhage from a pancreatic pseudocyst is a rare and often fatal complication of pancreatic trauma and pancreatitis. the pancreatic enzymes can erode into adjacent vessels, resulting intracystic hemorrhage or bleeding into the peritoneal cavity, pancreatic duct, stomach, duodenum, colon, or retroperitoneum. case report: We present a case of a large post-traumatic pancreatic pseudocyst in a 17-year-old adolescent, complicated by an intracystic hemorrhage that was successfully treated by selective arterial embolization. conclusion: A technical refinement both in diagnostic angiography and in transcatheter arterial embolization has strengthened the management of acute pancreatic pseudocyst hemorrhage. the embolization is an effective therapeutic alternative to surgery. A high index of suspicion should be maintained in any patient with a pseudocyst or a history of pancreatic trauma or chronic pancreatitis who presents with the abdominal pain, or falling hemoglobin level.
Highlights
Hemorrhage from a pancreatic pseudocyst is a rare and often fatal complication of pancreatic trauma and pancreatitis
Case Report: We present a case of a large post-traumatic pancreatic pseudocyst in a 17-year-old adolescent, complicated by an intracystic hemorrhage that was successfully treated by selective arterial embolization
A technical refinement both in diagnostic angiography and in transcatheter arterial embolization has strengthened the management of acute pancreatic pseudocyst hemorrhage
Summary
The pancreatic pseudocyst is a fluid collection held in intrapancreatic or extrapancreatic position. We present a case of a large post-traumatic pancreatic pseudocyst in a 17-year-old adolescent complicated by an intracystic hemorrhage that was successfully treated by selective arterial embolization. The purpose of this observation is to show the importance. After 15 days, he presented an acute abdominal pain with decreased blood pressure 90/40 mmHg. A CT control (Figure 2A–B) has objectified a significant intracystic bleeding in account of a hemorrhagic complication of pancreatic pseudocyst. A CT control (Figure 2A–B) has objectified a significant intracystic bleeding in account of a hemorrhagic complication of pancreatic pseudocyst It is in intimate contact with the splenic artery. A CT control after two months showed a very reduction of the volume of the pancreatic pseudocyst measuring less than 4 cm of diameter (Figure 4)
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