ASGE DDW Videos from Around the World | 2025-PANCREATIC PSEUDOANEURYSM- A CASE OF PROGRESSING PSEUDOANEURYSM DEVELOPMENT AND POTENTIAL COMPLICATION

PANCREATIC PSEUDOANEURYSM- A CASE OF PROGRESSING PSEUDOANEURYSM DEVELOPMENT AND POTENTIAL COMPLICATION

Video Transcription

Video Summary

A 36-year-old male with pancreatitis developed a rare and serious pancreatic pseudoaneurysm embedded within a pseudocyst. Initial symptoms included abdominal pain, nausea, and vomiting, with imaging revealing fluid collections and a pseudoaneurysm. Endoscopic and CT evaluations showed progression to Waldorf pancreatic necrosis (WOPN), ultimately identifying a splenic artery pseudoaneurysm. Deferred drainage and prompt interventional radiology intervention with embolization were critical in managing potential catastrophic bleeding. This case underscores the importance of endoscopic ultrasound in identifying pseudoaneurysms to prevent complications and highlights the need for multidisciplinary collaboration for successful management.

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Mohamed Hammad

Keywords

pancreatic pseudoaneurysm

Waldorf pancreatic necrosis

endoscopic ultrasound

splenic artery embolization

multidisciplinary management