Complicated systemic lupus erythematosus pancreatitis: Pseudocyst, pseudoaneurysm, but real bleeding
We report the case of a 25-year-old patient with systemic lupus erythematosus (SLE) pancreatitis which was complicated by pseudocyst and pseudoaneurysm formation. The pseudoaneurysm progressed to intra-abdominal bleeding requiring endovascular coil embolization of the gastroduodenal artery. The pseudocyst and hematoma formed two large abdominal fluid collections causing symptoms due to a mass effect. These fluid collections were treated conservatively, while active SLE was treated with steroids, azathioprine, and immunoglobulins. She finally made a full recovery. To the best of our knowledge, this is the first report of a bleeding pseudoaneurysm complicating SLE pancreatitis. Although anecdotal, this case may serve as a useful example of the possible complications of SLE pancreatitis, including considerations on optimal management. Lupus (2011) 20, 305-307.
|Persistent URL||dx.doi.org/10.1177/0961203310383071, hdl.handle.net/1765/26014|
Hoorn, E.J., Flink, H.J., Kuipers, E.J., Poley, J.W., Mensink, P.B.F., & Dolhain, R.J.E.M.. (2011). Complicated systemic lupus erythematosus pancreatitis: Pseudocyst, pseudoaneurysm, but real bleeding. Lupus, 20(3), 305–307. doi:10.1177/0961203310383071