• Medicine · Feb 2023

    Review Case Reports

    Hepatic artery pseudoaneurysm caused by chronic pancreatitis: Case report and literature review.

    • Fengjuan Jia, Guodong Xia, Qingliang Zhu, Shuangyu Yu, Nan Hu, and Hailong Zhang.
    • Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
    • Medicine (Baltimore). 2023 Feb 3; 102 (5): e32834e32834.

    RationaleVisceral artery pseudoaneurysm is a rare complication of chronic pancreatitis (CP), all pancreatic or peripancreatic arteries have been reported to be involved, while hepatic artery is less common.Patient ConcernsThis case report illustrated a 42-year-old man with CP who developed right hepatic artery pseudoaneurysm (HAP), and finally he was treated with intravascular embolization.DiagnosesThe patient suffered from HAP due to acute attack of CP.InterventionsThe pseudoaneurysm located in a fine branch of right hepatic artery was embolized.OutcomesThe HAP of the patient was cured. He had no recurrent bloody stool or abdominal pain. The symptoms gradually relieved.ConclusionHerein, we report a patient with CP who developed right HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, and a literature review is also presented. HAP caused by CP is a rare disease in the clinic, but rupture of pseudoaneurysm is fatal. Careful evaluation, early detection, and prompt treatment should be performed when the patient is admitted and followed up.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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