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Drug-Induced Acute Pancreatitis and Pseudoaneurysms: An Ominous Combination

dc.contributor.authorBranquinho, D
dc.contributor.authorRamos-Andrade, D
dc.contributor.authorElvas, L
dc.contributor.authorAmaro, P
dc.contributor.authorFerreira, M
dc.contributor.authorSofia, C
dc.date.accessioned2019-05-22T16:13:42Z
dc.date.available2019-05-22T16:13:42Z
dc.date.issued2016
dc.description.abstractRupture of pseudoaneurysms is rare but can be life-threatening complications of acute or chronic pancreatitis, usually due to enzymatic digestion of vessel walls crossing peripancreatic fluid collections. We report the case of a 40 year-old female, with multisystemic lupus and anticoagulated for prior thrombotic events, admitted for probable cyclosporine-induced acute pancreatitis. Hemodynamic instability occurred due to abdominal hemorrhage from two pseudoaneurysms inside an acute peri-pancreatic collection. Selective angiography successfully embolized the gastroduodenal and pancreatoduodenal arteries. The hemorrhage recurred two weeks later and another successful embolization was performed and the patient remains well to date. The decision to restart anticoagulants and to suspend cyclosporine was challenging and required a multidisciplinary approach. Despite rare, bleeding from a pseudoaneurysm should be considered when facing a patient with pancreatitis and sudden signs of hemodynamic instability.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGE Port J Gastroenterol. 2016 Aug 12;23(6):309-313.pt_PT
dc.identifier.doi10.1016/j.jpge.2016.06.002pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2224
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectPancreatitept_PT
dc.subjectFalso Aneurismapt_PT
dc.titleDrug-Induced Acute Pancreatitis and Pseudoaneurysms: An Ominous Combinationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage313pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage309-313pt_PT
oaire.citation.volume23pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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