CALCIFIC PANCREATITIS-INDUCED GASTRODUODENAL ARTERY PSEUDOANEURYSM - NONSURGICAL MANAGEMENT

Hemorrhage associated with pancreatitis has a high morbidity and morta lity in the early phase of the illness. In a small number of patients, bleeding is from major pancreatic or peripancreatic vessels which nec essitates emergency intervention. However, most such reports are confi ned to adults. We report a 6-year-old girl with chronic calcific pancr eatitis who presented with hematemesis and melena without any acute ex acerbation of her underlying illness. Pseudoaneurysm of the gastroduod enal artery was detected by angiography which was then effectively tre ated at the same time by embolization with gel foam and a steel coil, thus obviating the need for surgical intervention.