A patient with a pseudoaneurysm of the distal abdominal aorta, which develo
ped as the result of complicated gallstone pancreatitis, is reported. The a
orta was bypassed with an axillofemoral-femorofemoral graft; the pseudoaneu
rysm was resected, and the infrarenal aorta,vas oversewn. The patient survi
ved a complicated postoperative course and was discharged with well-perfuse
d lower extremities. No previous description of a pseudoaneurysm of the aor
ta as a complication of pancreatitis was found on review of the literature.