The natural history of acute necrotizing-hemorrhagic pancreatitis is sometimes characterized by the unpredictable occurrence of several complications. The formation of pseudocysts constitutes an important evolutionary turning point. Their evolution is unpredictable, ranging from simple spontaneous resolution to the occurrence of serious complications. We report the case of a severe idiopathic acute pancreatitis that presented several successive complications: a gastrointestinal hemorrhage on a laminated irregular non-aneurysmal gastro-duodenal artery as well as a ductal disconnection syndrome and a high occlusive syndrome due to compression by a pseudocyst. The interest of this observation lies in the originality of the clinical presentation, the rarity of published cases, and the complex management required.
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Noubail et al. (2024) studied this question.
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