Presentation and Management of Pseudoaneurysmogastric Fistula: A Life Threatening Emergency

ABSTRACT

Pseudoaneurysmogastric fistula is a rare consequence of pseudoaneurysms occurring in the vicinity of stomach. They are the result of pseudoaneurysms eroding into the stomach, and represent a life threatening emergency. Urgent surgical intervention is often necessary to salvage the patient. Data regarding the presentation and management of this condition is sparse. Herein, we present our experience with four cases of pseudoaneurysmogastric fistula, their clinical context, presentation, management and outcomes. We attempt to outline an algorithm for the diagnosis and management of this unusual complication.

Keywords:

• Pseudoaneurysmogastric fistula
• hematemesis
• UGI hemorrhage
• pseudoaneurysm
• pancreatitis