[Imaging of a case of wirsungorrhagia]

J Radiol. 1997 Aug;78(8):589-91.
[Article in French]

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.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / etiology
  • Chronic Disease
  • Embolization, Therapeutic
  • Hemorrhage / diagnostic imaging*
  • Hemorrhage / etiology
  • Hemorrhage / therapy
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Ducts / diagnostic imaging*
  • Pancreatitis, Alcoholic / complications*
  • Pancreatitis, Alcoholic / diagnostic imaging
  • Radiography
  • Rupture, Spontaneous
  • Stomach / blood supply