Spiral enteroscopy-assisted pancreatoscopy for the diagnosis of obscure overt bleeding in a patient with surgically altered anatomy.

摘要

Pseudoaneurysm formation of the peripancreatic arteries is a rare but well-described complication of chronic pancreatitis. Angiography and arterial emboli-zation are valuable means of diagnosis and treatment for bleeding peripancreatic pseudoaneurysms.1 We present a case of obscure overt GI bleeding as a complication of coil migration after embolization of a bleeding gastroduodenal artery (GDA) pseudoaneurysm. Spiral enteroscopy-assisted pancreatoscopy was used to establish the site of bleeding in this patient with a prior lateral pancreaticojejunostomy.