n South African Gastroenterology Review - Pancreatic pseudocyst haemorrhage treated by common hepatic artery embolisation : review




A 51 year old male known with chronic alcoholic pancreatitis, presented to a local hospital with a history of melaena and exacerbation of chronic epigastric pain. He was stable, but pale with a tender palpable 4 cm diameter epigastric mass. Laboratory investigations confirmed anaemia with a haemoglobin level of 7,2 g/dL. Urea, creatinine and electrolyte levels were normal, while liver function tests showed normal bilirubin and aminotransferase levels, but mild elevations in alkaline phosphatase and gamma-glutamyl transpeptidase. Abdominal ultrasonography demonstrtated a 42mm aneurysm, located between the porta hepatis and the pancreas. No free fluid, biliary dilatation or cholelithiasis were present. Two units of packed red blood cells were transfused and the patient was referred for further assessment and management.


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