Case report demonstrates duodenal ischemic injury following inferior pancreaticoduodenal artery embolization in recurrent acute pancreatitis, highlighting potential vascular complications.
Image of the monthA 44-year-old man with alcohol-related recurrent acute pancreatitis presented with abdominal pain and melena.Physical and systemic examinations were unremarkable.Laboratory evaluation revealed anemia (hemoglobin 9.6 gm/dL), and upper gastrointestinal endoscopy was normal.Contrast-enhanced computed tomography (CECT) revealed a heterogeneous hypodense lesion (41 × 35 mm) in the pancreatic head with peripancreatic fat stranding and a pseudoaneurysm (15 × 15 mm) arising from a branch (inferior pancreaticoduodenal) of the superior mesenteric artery (SMA) (Figs 1A to C).Additional findings
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Bodh et al. (2026) studied this question.
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