Question:

Which is the most rapidly fatal complication of chronic pancreatitis?
1. Thrombosis of the superior mesenteric vein.
2. Acute hemorrhage from a pseudyaneurysm.
3. Exocrine pancreatic insufficiency.
4. Diabetes.
5. Rupture of a pseudocyst.





Answer:

The correct answer for the question "Which is the most rapidly fatal complication of chronic pancreatitis?" is:

2. Acute hemorrhage from a pseudyaneurysm.



Explanation
(1) Thrombosis of the superior mesenteric vein is a complication of chronic pancreatits, but not a rapidly fatal complication.

(2) Acute hemorrhage from a pseudoaneurysm is the most rapid fatal complication of chronic pancreatitis, the mortality of untreated patients is 90-100%.

(3) Exocrine pancreatic insufficiency is a frequent complication of chronic pancreatitis, but not a rapidly fatal complication.

(4) Diabetes is a frequent complication of chronic pancreatitis, but not a rapidly fatal complication.

(5) Rupture of a pseudocyst is a potential complication of chronic pancreatitis, but not a rapidly fatal complication.



From the manuscript:
Successful arterial embolization of a giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis with literature review
Radiology Case. 2012 Feb; 6(2):9-16


This article belongs to the Interventional section.




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From the manuscript

Successful arterial embolization of a giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis with literature review

Free full text article: Successful arterial embolization of a giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis with literature review

Abstract
We report a case of an uncommon giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis. It presented with a perfused volume of 17.3 cm³ close to the branch-off of the right hepatic artery. Superselective transcatheter embolization including interlocking detachable coils and a mixture of Ethibloc and Lipiodol was our technique of choice. Following the procedure, the patient was in hemodynamically stable condition. At that time, he was free of any clinical symptoms and showed no further signs of bleeding or ischaemia. Additionally, we present an overview of the relevant literature.






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1. Angiography

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5. chronic pancreatitis


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