RESUMEN
The arterial pseudoaneurysm (AS) are a complication uncommon though very serious of the pancreatitis acute or chronic. We present the case of a male of 55 years with a pancreatitis chronic, developed within a pseudocyst pancreatic with break to left renal cell forming a hematoma perirrenal and perforation duodenal with massive gastrointestinal hemorrhage hypovolemic and death of the patient. We analyze theirs different forms of clinic presentation, the difficulties diagnostics found and the possible treatments that they could improve their results.
Asunto(s)
Aneurisma Falso/etiología , Seudoquiste Pancreático/complicaciones , Pancreatitis/complicaciones , Arteria Esplénica , Aneurisma Falso/diagnóstico por imagen , Enfermedad Crónica , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Arteria Esplénica/diagnóstico por imagen , UltrasonografíaRESUMEN
A psammomatous endocrine tumor of the duodenum associated with a perforated duodenal ulcer, acute diffuse peritonitis and multiple organ failure is described. Histologic evaluation of the tumor shows a mixed pattern, with solid and glandular structures. Immunohistochemical stains further show cytoplasmic storage of gastrin and somatostatin. Apical CEA staining is also demonstrated in glandular areas of the tumor.