Chirurgia Bucur ; 2 :Mar-Apr.
Article En MEDLINE ID: mdl Splenopancreatectomy performed for pancreatic pseudo-cyst with splenic artery pseudo-aneurysm and communication with the digestive tract stomach or colon is a very rare indication and a small number of these procedures are cancer colon resection in literature. Managing peri-pancreatic pseudo-aneurysm is complex and can be challenging.
Surgical treatment is of curative intent and can involve multiple visceral resections.
Surgery can be performed in an emergency setting, if the patient presents cataclysmic bleeding, or in a planned manner if the pseudo-aneurysm is discovered incidentally or cancer colon resection the patient manages to overcome the initial bleeding.
In this paper we present two cases of pancreatic pseudo-cysts with splenic artery pseudo-aneurysms and communication with the digestive tract one with pseudo-cystic-colonic communication and the other one with gastric communication.
Both patients were males, suffered from chronic pancreatitis and were known cancer colon resection have pancreatic pseudo-cysts.
For the treatment of the first patient, surgery cancer colon resection performed in an elective setting, after cancer colon resection investigations.
The other patient presented with cataclysmic bleeding and emergency surgery cancer colon resection performed in order to control the bleeding. We conclude that surgery remains the main option of treatment for these cancer colon resection.
It can be used as a first line of treatment or secondary to endovascular procedures.