{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:46:58Z","timestamp":1753894018708,"version":"3.41.2"},"reference-count":15,"publisher":"Pensoft Publishers","issue":"3","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>Pancreatic pseudocysts are considered a common complication of chronic pancreatitis. They can be infected, resulting in abscess formation; erode the wall of surrounding vascular structures, resulting in communication with them, leading to hemorrhage through the gastrointestinal tract; or rupture in the peritoneum with catastrophic consequences. Endovascular repair is a minimally invasive technique that permits exclusion of communication between pancreatic pseudocysts and vessels with low perioperative morbidity and mortality. We present a case of a symptomatic male patient with a hemorrhagic pancreatic pseudocyst due to a fistula with the superior mesenteric artery successfully managed endovascularly by deployment of a stent graft.<\/jats:p>","DOI":"10.3897\/folmed.67.e141989","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T07:30:21Z","timestamp":1747380621000},"source":"Crossref","is-referenced-by-count":0,"title":["Endovascular repair of symptomatic fistulized pancreatic pseudocyst to superior mesenteric artery"],"prefix":"10.3897","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2183-7160","authenticated-orcid":true,"given":"Konstantinos","family":"Tigkiropoulos","sequence":"first","affiliation":[{"name":"Aristotle University, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katerina","family":"Sidiropoulou","sequence":"additional","affiliation":[{"name":"Aristotle University, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Chatziantoniou","sequence":"additional","affiliation":[{"name":"Aristotle University, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Karamanos","sequence":"additional","affiliation":[{"name":"Aristotle University, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Saratzis","sequence":"additional","affiliation":[{"name":"Aristotle University, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"141989_B1","doi-asserted-by":"crossref","unstructured":"1. Sedik A, Touheria M, Fathi A, et al. Spontaneous rupture of the pancreatic pseudocyst into the duodenum with massive upper gastrointestinal bleeding: case report and literature review. Int Surg J 2020; 7:3792\u201394.","DOI":"10.18203\/2349-2902.isj20204694"},{"key":"141989_B2","doi-asserted-by":"crossref","unstructured":"2. Mullins RJ, Malagoni MA, Bergamini TM, et al. Controversies in the management of pancreatic pseudocysts. Am J Surg 1998; 155:165\u201372.","DOI":"10.1016\/S0002-9610(88)80275-7"},{"key":"141989_B3","doi-asserted-by":"crossref","unstructured":"3. Sankaran S, Walt S. The natural and unnatural history of pancreatic pseudocysts. Br J Surg 1975; 62:37\u20139.","DOI":"10.1002\/bjs.1800620110"},{"key":"141989_B4","doi-asserted-by":"crossref","unstructured":"4. Kiviluoto T, Kivisaari L, Kivilaakso E. Pseudocysts in chronic pancreatitis: surgical results in 102 consecutive patients. Arch Surg 1989; 124:240\u20133.","DOI":"10.1001\/archsurg.1989.01410020114019"},{"key":"141989_B5","doi-asserted-by":"crossref","unstructured":"5. El Hamel A, Parc R, Adda G, et al. Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis. Br J Surg 1991; 78:1059\u201363.","DOI":"10.1002\/bjs.1800780910"},{"key":"141989_B6","doi-asserted-by":"crossref","unstructured":"6. Stanley JC, Frey CF, Miller TA. Major arterial hemorrhage: a complication of pancreatic pseudocysts and chronic pancreatitis. Arch Surg 1976; 111:435\u201340.","DOI":"10.1001\/archsurg.1976.01360220131022"},{"key":"141989_B7","doi-asserted-by":"crossref","unstructured":"7. Gadacz TR, Kieffer RF, Trunkey D. Visceral vessel erosion associated with pancreatitis. Arch Surg 1978; 113:1438\u201340.","DOI":"10.1001\/archsurg.1978.01370240060009"},{"key":"141989_B8","doi-asserted-by":"crossref","unstructured":"8. Carr JA, Cho JS, Shepard AD, et al. Visceral pseudoaneurysms due to pancreatic pseudocysts: Rare but lethal complications of pancreatitis. J Vasc Surg 2000; 32:722\u201330.","DOI":"10.1067\/mva.2000.110055"},{"key":"141989_B9","doi-asserted-by":"crossref","unstructured":"9. Makary MS, Gayou EL, Kyrouac D, et al. Pancreaticoportal fistula formation as a consequence of recurrent acute pancreatitis: clinical and imaging considerations. J Clin Imaging Sci 2018; 8:4.","DOI":"10.4103\/jcis.JCIS_84_17"},{"key":"141989_B10","doi-asserted-by":"crossref","unstructured":"10. Denys A, Hammel P, De Baere T, et al. Arterioportal fistula due to a ruptured pancreatic pseudocyst: diagnosis and endovascular treatment. Am J Roentgenol 1998; 170:1205\u20136.","DOI":"10.2214\/ajr.170.5.9574585"},{"key":"141989_B11","doi-asserted-by":"crossref","unstructured":"11. Cowan S, Kahn MB, Bonn J, et al. Superior mesenteric artery pseudoaneurysm successfully treated with polytetrafluoroethylene covered stent. J Vasc Surg 2002; 35:805\u20137.","DOI":"10.1067\/mva.2002.121754"},{"key":"141989_B12","unstructured":"12. Bouassida M, Benali M, Charrada H, et al. Gastrointestinal bleeding due to an erosion of the superior mesenteric artery: an exceptional fatal complication of pancreatic pseudocyst. Pan Afr Med 2012: 12:62."},{"key":"141989_B13","doi-asserted-by":"crossref","unstructured":"13. Sagar S, Soundarajan R, Gupta P, et al. Efficacy of endovascular embolization of arterial pseudoaneurysms in pancreatitis: A systematic review and meta-analysis. Pancreatology 2021; 21:46\u201358.","DOI":"10.1016\/j.pan.2020.11.017"},{"key":"141989_B14","doi-asserted-by":"crossref","unstructured":"14. Walia D, Saraya A, Gunjan D. Vascular complications of chronic pancreatitis and its management. World J Gastrointest Surg 2023; 15:1574\u201390.","DOI":"10.4240\/wjgs.v15.i8.1574"},{"key":"141989_B15","doi-asserted-by":"crossref","unstructured":"15. Anand A, Gunjan D, Agarwal S, et al. Vascular complications of chronic pancreatitis: A tertiary center experience. 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