Extensive Arterial Thrombosis Complicating Acute Pancreatitis: A Case Report and Literature Review.
Min-Seok Cho, Eunae Cho, Hyung-Hoon Oh et al.
✦ AI-curated · Sources linked
Case in brief
A 61-year-old man with chronic pancreatitis developed acute interstitial edematous pancreatitis. Four weeks after presentation, persistent dyspepsia prompted contrast-enhanced CT, which showed pancreatic pseudocysts and extensive arterial thrombosis involving the thoracic and abdominal aorta, both internal iliac arteries, and the left subclavian artery. Systemic anticoagulation was given, and follow-up imaging showed resolution of the thrombosis.
What made this case unusual
The thrombosis was extensive, affecting multiple large arteries, and was detected four weeks after presentation in interstitial edematous rather than necrotizing pancreatitis.
Diagnostic / clinical pearl
Arterial thrombosis associated with pancreatitis may occur in interstitial edematous as well as necrotizing disease, and may be detected later in the course; persistent symptoms can prompt imaging that reveals this complication.