Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection
Pancreatic pseudocysts are uncommon complications of pancreatic injury in the pediatric population. A rare but devastating complication of pseudocyst development is pseudoaneurysm formation. We report the case of a 13-year-old patient with a pheochromocytoma who developed a pancreatic pseudocyst pos...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576620300981 |
| _version_ | 1818825935079604224 |
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| author | Jasper Williams Andrea P. Dutoit Rachel A. Spitznagel Brian Jones Lincoln Wong Michelle M. LeRiger |
| author_facet | Jasper Williams Andrea P. Dutoit Rachel A. Spitznagel Brian Jones Lincoln Wong Michelle M. LeRiger |
| author_sort | Jasper Williams |
| collection | DOAJ |
| description | Pancreatic pseudocysts are uncommon complications of pancreatic injury in the pediatric population. A rare but devastating complication of pseudocyst development is pseudoaneurysm formation. We report the case of a 13-year-old patient with a pheochromocytoma who developed a pancreatic pseudocyst postoperatively with subsequent catastrophic bleeding from an undetected pseudoaneurysm rupture. The patient underwent emergent exploratory laparotomy requiring initiation of the massive transfusion protocol followed by multiple reoperations. This case illustrates the potential consequences of an unrecognized pseudoaneurysm. Although in this case there were no symptoms prior to hemodynamic instability, other cases may demonstrate signs or symptoms that should not be ignored. |
| first_indexed | 2024-12-19T00:19:40Z |
| format | Article |
| id | doaj.art-48db3ab1aa964f0d8b8e157f6896daaf |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-19T00:19:40Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-48db3ab1aa964f0d8b8e157f6896daaf2022-12-21T20:45:36ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-06-0157Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resectionJasper Williams0Andrea P. Dutoit1Rachel A. Spitznagel2Brian Jones3Lincoln Wong4Michelle M. LeRiger5Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA; Division of Pediatric Anesthesiology, Children's Hospital and Medical Center, Omaha, NE, USA; Corresponding author. Department of Anesthesiology, 8200 Dodge Street Omaha, NE, 68114, USA.Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA; Division of Pediatric Anesthesiology, Children's Hospital and Medical Center, Omaha, NE, USADepartment of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA; Division of Pediatric Anesthesiology, Children's Hospital and Medical Center, Omaha, NE, USADepartment of Surgery, University of Chicago Medicine, Chicago, IL, USADepartment of Radiology, University of Nebraska Medical Center, Omaha, NE, USA; Department of Radiology, Children's Hospital and Medical Center, Omaha, NE, USADepartment of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA; Division of Pediatric Anesthesiology, Children's Hospital and Medical Center, Omaha, NE, USAPancreatic pseudocysts are uncommon complications of pancreatic injury in the pediatric population. A rare but devastating complication of pseudocyst development is pseudoaneurysm formation. We report the case of a 13-year-old patient with a pheochromocytoma who developed a pancreatic pseudocyst postoperatively with subsequent catastrophic bleeding from an undetected pseudoaneurysm rupture. The patient underwent emergent exploratory laparotomy requiring initiation of the massive transfusion protocol followed by multiple reoperations. This case illustrates the potential consequences of an unrecognized pseudoaneurysm. Although in this case there were no symptoms prior to hemodynamic instability, other cases may demonstrate signs or symptoms that should not be ignored.http://www.sciencedirect.com/science/article/pii/S2213576620300981PheochromocytomaPseudoaneurysmPancreatic pseudocystPediatric patientCase report |
| spellingShingle | Jasper Williams Andrea P. Dutoit Rachel A. Spitznagel Brian Jones Lincoln Wong Michelle M. LeRiger Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection Journal of Pediatric Surgery Case Reports Pheochromocytoma Pseudoaneurysm Pancreatic pseudocyst Pediatric patient Case report |
| title | Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection |
| title_full | Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection |
| title_fullStr | Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection |
| title_full_unstemmed | Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection |
| title_short | Pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection |
| title_sort | pseudoaneurysm as a devastating complication of pancreatic pseudocyst following pheochromocytoma resection |
| topic | Pheochromocytoma Pseudoaneurysm Pancreatic pseudocyst Pediatric patient Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576620300981 |
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