Table 2. Pseudoaneurysms treated by primary surgical repair.
Type of pseudoaneurysm | Presentation | Etiology | Postsurgical outcome | |
---|---|---|---|---|
1. | Gastroduodenal artery pseudoaneurysm |
Detected on CT during evaluation for pancreatic mass | Chronic pancreatitis, pancreatic head mass | Whipple's done – discharged after 2 weeks |
2. | Splenic artery pseudoaneurysm |
Detected on CT during evaluation for pancreatitis | Chronic pancreatitis Chronic pseudocyst |
Aneurysmectomy, repair of splenic artery, pseudocyst drainage- discharged after 2 weeks |
3. | Hepatic artery pseudoaneurysm |
GI bleed | Post-Whipple's | Bleeding control achieved, > 2 months' hospital stay, pancreatic fistula followed by death |
4. | Gastroduodenal artery pseudoaneurysm |
GI bleed | Periampullary mass | Renal shutdown following surgery, multiorgan failure – died after 1 week |
5. | Multiple mesenteric artery pseudoaneurysms | GI bleed | Tubercular vasculitis Tubercular spondylodiscitis |
Perioperative death |
6. | Right hepatic artery pseudoaneurysm | GI bleed | Post-ERCP | Died in ICU in 48 hours due to multiorgan failure |
Abbreviations: CT, computed tomography; ERCP, endoscopic retrograde cholangiopancreatography; GI, gastrointestinal; ICU, intensive care unit.