Hemorrhage From Left Hepatic Artery Pseudoaneurysm as a Complication of Acute Pancreatitis in a Patient With Fibromuscular Dysplasia

Dennis Wang; Gordon Yip; David Anthony Szalay; Paul Moayyedi

doi:10.14309/crj.0000000000001098

Hemorrhage From Left Hepatic Artery Pseudoaneurysm as a Complication of Acute Pancreatitis in a Patient With Fibromuscular Dysplasia

ACG Case Rep J. 2023 Jul 10;10(7):e01098. doi: 10.14309/crj.0000000000001098. eCollection 2023 Jul.

Authors

Dennis Wang¹, Gordon Yip², David Anthony Szalay³, Paul Moayyedi⁴

Affiliations

¹ McMaster University Adult Gastroenterology Residency Program, Hamilton, Ontario, Canada.
² Department of Radiology, McMaster University, Hamilton, Ontario, Canada.
³ Division of Vascular Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
⁴ Division of Gastroenterology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

Abstract

Hepatic artery pseudoaneurysms are a rare complication of pancreatitis, and their rupture and bleeding cause high mortality. We present the case of a 76-year-old woman with fibromuscular dysplasia who developed a new left hepatic artery pseudoaneurysm within a week of her first episode of acute pancreatitis and later suffered an acute pseudoaneurysm bleed successfully treated with transcatheter coil embolization. To the best of our knowledge, this is the first case reported of a patient with fibromuscular dysplasia with pancreatitis-related pseudoaneurysm formation. One must consider pseudoaneurysms and associated bleeding as complications of acute pancreatitis because prompt recognition can lead to timely management.

Keywords: acute pancreatitis; embolization; fibromuscular dysplasia; pseudoaneurysm.

Publication types

Case Reports