Imaging of a case of wirsungorrhagia |
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Authors: | H Dahan L Arrivé L Monnier-Cholley M Lewin L Rotenberg JM Tubiana |
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Affiliation: | Servicio de Neumología, Hospital Universitario La Fe, Valencia. |
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Abstract: | We report a case of wirsungorrhagia related to rupture of a pseudoaneurysm into the duct of Wirsung in a patient with chronic pancreatitis. Upper gastrointestinal endoscopy showed blood coming from the papilla of Vater suggesting wirsungorrhagia. Non-contrast computed tomography showed a spontaneous hyperdensity and arteriography showed an extravasation of contrast within a very large duct of Wirsung confirming wirsungorrhagia. Arteriography and dynamic computed tomography revealed a pseudoaneurysm from the left gastric artery. The pseudoaneurysm was successfully embolized with four steel microcoils, after super-selective catheterization of small branch of the left gastric artery, keeping gastric and liver vascularization. |
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