Table 4.
Studies showing sites and clinical manifestations of arterial pseudoaneurysms in patients with chronic pancreatitis
|
Ref.
|
Vascular complications
|
PsAs
|
Site- artery involved
|
Clinical presentation
|
| Bergert et al[86], 2004 | 36/541 | 25/36 | Splenic: 8/25 (32%). Pancreaticoduodenal (superior or inferior): 7/25 (28%). Gastroduodenal: 4/25 (16%). Superior mesenteric: 2/25 (8%). Jejunal branches: 2/25 (8%). Left gastric: 1/25 (4%). Right colic: 1/25 (4%) | Acute abdominal pain: 12 (48%). Haemorrhagic shock: 10 (40%). Acute upper GI bleed: 9 (36%). Acute lower GI bleed: 3 (12%). Chronic anaemia: 3 (12%). Acute on chronic pancreatitis: 5 (20%) |
| Udd et al[81], 2007 | 33/745 | 33 | Gastroduodenal/pancreaticoduodenal: 19 (58%). Splenic or its branches: 14 (42%) | Abdominal pain: 22 (66.6%). GI bleed: 17 (51%) |
| Sethi et al[87], 2010 | Chronic pancreatitis with PsA: 16 | 16 | Splenic: 7 (43.7%). Hepatic: 3 (18.75%). Gastroduodenal: 2 (12.5%). Right gastric: 2 (12.5%). Left gastric: 1 (6.25%). Pancreaticoduodenal: 1 (6.25%) | Intraabdominal bleed: 2 (13%). GI bleed: 8 (50%). Occult bleed: 10 (63). Pain: 14 (88) |
| Mallick et al[88], 2019 | 27/380 | 27 | Gastroduodenal: 13 (48.2%). Splenic: 10 (37.1%). Superior mesenteric: 2 (7.4%). Left gastric: 1 (3.7%). Inferior pancreaticoduodenal: 2 (7.4%) | Hematemesis: 6/27 (22.2%). Melena: 17/27 (63.0%). PCD bleed: 1/27 (3.7%) |
| Zabicki et al[55], 2018 | Chronic pancreatitis with PsA: 15 | 15 | Splenic: 7/15 (46.7%). Common hepatic: 2/15 (13.3%). Right gastroepiploic: 2/15 (13.3%) | - |
| Anand et al[21], 2020 | 166/1363 (12.2%) | PsA: 34/1363 (2.5%). PsA alone: 17 (50%). PsA with VT: 17 (50%) | Splenic: 25/33 (75.7%). Gastroduodenal: 6/33 (18.2%). Inferior pancreatico-duodenal: 1/33 (3.0%). Left gastric: 1/33 (3.0%) | GI bleed: 22/34 (64.7%) |
| Vujasinovic et al[17], 2021 | 33/394 | 3/394 (0.8%) | Splenic: 2/3 (66.7). Left gastric: 1/3 (33.3) | Incidental finding: 3/3 (100%). Intraabdominal bleeding: 0/3 (0%) |
| Madhusudhan et al[68], 2021 | 56 patients of chronic pancreatitis | PsA: 61 | Splenic: 31/56 (55.3%). Gastroduodenal: 18/56 (32.1%). Inferior pancreaticoduodenal: 1/56 (1.7%). Colic: 1/56 (1.7%). Hepatic: 4/56 (7.1%). Left gastric: 5/56 (8.9%) | Upper GI bleed: 40/56 (71.4%). PCD bleed: 1/56 (1.7%). Pain: 4/56 (7.14%). Incidentally detected on imaging: 11/56 (19.6%) |
GI: Gastrointestinal; PCD: Percutaneous drain; VT: Venous thrombosis; PsA: Pseudoaneurysm.