Complicated visceral artery aneurysms in chronic pancreatitis

Styazhkina S.N.

Izhevsk State Medical Academy

Zaitsev D.V.

First Republican Clinical Hospital

ORCID: 0000-0002-6754-960X

Ledneva A.V.

Izhevsk State Medical Academy

Kutbedinov Kh.S.

Izhevsk State Medical Academy

Klestov K.B.

Izhevsk State Medical Academy

Kulikov Yu.V.

Izhevsk State Medical Academy

Sharifullina E.R.

Izhevsk State Medical Academy

Zharova A.A.

Izhevsk State Medical Academy

Complicated visceral artery aneurysms in chronic pancreatitis

Authors:

Styazhkina S.N., Zaitsev D.V., Ledneva A.V., Kutbedinov Kh.S., Klestov K.B., Kulikov Yu.V., Sharifullina E.R., Zharova A.A.

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Journal: Pirogov Russian Journal of Surgery. 2023;(2): 96‑101

DOI: 10.17116/hirurgia202302196

Downloaded: 25

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To cite this article:

Styazhkina SN, Zaitsev DV, Ledneva AV, et al. . Complicated visceral artery aneurysms in chronic pancreatitis. Pirogov Russian Journal of Surgery. 2023;(2):96‑101. (In Russ.)
https://doi.org/10.17116/hirurgia202302196

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Visceral artery aneurysms are rare and occur only in 0.01—0.2% of people. According to various authors, incidence of aneurysm rupture is 10—20% with mortality rate of 20—70% depending on localization and dimensions. One of the causes of visceral artery aneurysms, in particular common hepatic artery aneurysm, is chronic pancreatitis. Incidence of this complication is 2—10%. The first clinical manifestation is often hemorrhagic shock following false aneurysm rupture and bleeding into abdominal cavity, gastrointestinal tract or retroperitoneal space. Common hepatic artery aneurysm is complicated by bleeding in 35% of cases, and mortality may be up to 75%. Treatment of visceral artery aneurysm following chronic pancreatitis and post-necrotic parapancreatic cyst includes several stages. Endovascular methods are the first stage of treatment. The second stage is elimination of the cause of visceral artery false aneurysm (surgery for chronic pancreatitis). We present 3 patients with visceral artery aneurysms and chronic pancreatitis.

Keywords:

visceral artery false aneurysm

chronic pancreatitis

endovascular methods

Authors:

Styazhkina S.N.

Izhevsk State Medical Academy

Zaitsev D.V.

First Republican Clinical Hospital

ORCID: 0000-0002-6754-960X

Ledneva A.V.

Izhevsk State Medical Academy

Kutbedinov Kh.S.

Izhevsk State Medical Academy

Klestov K.B.

Izhevsk State Medical Academy

Kulikov Yu.V.

Izhevsk State Medical Academy

Sharifullina E.R.

Izhevsk State Medical Academy

Zharova A.A.

Izhevsk State Medical Academy

Received:

18.05.2022

Accepted:

29.06.2022

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