Gastrointestinal bleeding due to an erosion of the superior mesenteric artery: an exceptional fatal complication of pancreatic pseudocyst

  • Mahdi Bouassida
  • Mechaal Benali
  • Hédi Charrada
  • Mossaab Ghannouchi
  • Fathi Chebbi
  • Mohamed Mongi Mighri
  • Mohamed Msaddak Azzouz
  • Hassen Touinsi
  • Sadok Sassi

Abstract

The erosion of a pancreatic pseudocyst into an adjacent artery is a rare and highly lethal complication of pancreatitis with reported death rates of 12% to 40%. The majority of patients had bleeding from the splenic artery, the gastroduodenal artery and the anterior pacreaticoduodenal artery. Exceptionally, some cases with bleeding from the superior mesenteric artery, or hepatic artery were reported. We report the case of a 50 year old patient having a cataclysmic upper gastrointestinal bleeding due to an erosion of the superior mesenteric artery by a pancreatic pseudocyst, and discuss contemporary methods in diagnosis and management of the condition.

Pan African Medical Journal 2012; 12:62

Author Biographies

Mahdi Bouassida
Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Mechaal Benali
Department of Ranimation, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Hédi Charrada
Department of Ranimation, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Mossaab Ghannouchi
Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Fathi Chebbi
Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Mohamed Mongi Mighri
Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Mohamed Msaddak Azzouz
Department of Gastrology, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Hassen Touinsi
Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Sadok Sassi
Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
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Articles

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eISSN: 1937-8688