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. 2023 Aug 27;15(8):1574–1590. doi: 10.4240/wjgs.v15.i8.1574

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.