Rapid progression of a splenic aneurysm due to segmental arterial mediolysis: A rare cause of acute pancreatitis

J. Matthias Löhr; Dietmar Dinter; Steffen J. Diehl; Stephan L. Haas; Mira Veeser; Roland Pfützer; Jürgen Retter; Stefan O. Schönberg; Christoph Düber; Volker Keim; Dirk Schadendorf; Heiko Witt

doi:10.1016/j.pan.2013.06.001

Rapid progression of a splenic aneurysm due to segmental arterial mediolysis: A rare cause of acute pancreatitis

J. Matthias Löhr, Dietmar Dinter, Steffen J. Diehl, Stephan L. Haas, Mira Veeser, Roland Pfützer, Jürgen Retter, Stefan O. Schönberg, Christoph Düber, Volker Keim, Dirk Schadendorf, Heiko Witt

Associate Professorship of Paediatric Nutritional Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background: The etiology of acute pancreatitis can be manifold, beside the usual causes.We are reporting an unusual cause that triggered acute pancreatitis. Patient & results: A 50 year-old male experienced attacks of acute pancreatitis (abdominal pain and elevated amylase and lipase) during sexual arousal. Serial imaging showed a rapidly-progressing, partlythrombosed splenic artery aneurysm, with local compression of the pancreas. After angiographic coiling, the attacks subsided. Further angiography revealed additional aneurysms consistent with segmental arterial mediolysis at other sites of the body. Molecular analysis regarding EhlerseDanlos-syndrome and genetic factors for pancreatitis, autoantibodies and Syphilis serology was negative. Conclusions: Acute pancreatitis was triggered by a transient rise in blood pressure during sexual stimulation, which caused rapid progression of a splenic artery aneurysm as part of systemic segmental arterial mediolysis.

Original language	English
Pages (from-to)	553-556
Number of pages	4
Journal	Pancreatology
Volume	13
Issue number	5
DOIs	https://doi.org/10.1016/j.pan.2013.06.001
State	Published - 2013

Keywords

Acute pancreatitis
Hypertension
Segmental arterial mediolysis
Sexual arousal
Splenic artery aneurysm

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.pan.2013.06.001

Cite this

@article{0c6bb0a6cfc74c23ba0e3142676d55c8,

title = "Rapid progression of a splenic aneurysm due to segmental arterial mediolysis: A rare cause of acute pancreatitis",

abstract = "Background: The etiology of acute pancreatitis can be manifold, beside the usual causes.We are reporting an unusual cause that triggered acute pancreatitis. Patient & results: A 50 year-old male experienced attacks of acute pancreatitis (abdominal pain and elevated amylase and lipase) during sexual arousal. Serial imaging showed a rapidly-progressing, partlythrombosed splenic artery aneurysm, with local compression of the pancreas. After angiographic coiling, the attacks subsided. Further angiography revealed additional aneurysms consistent with segmental arterial mediolysis at other sites of the body. Molecular analysis regarding EhlerseDanlos-syndrome and genetic factors for pancreatitis, autoantibodies and Syphilis serology was negative. Conclusions: Acute pancreatitis was triggered by a transient rise in blood pressure during sexual stimulation, which caused rapid progression of a splenic artery aneurysm as part of systemic segmental arterial mediolysis.",

keywords = "Acute pancreatitis, Hypertension, Segmental arterial mediolysis, Sexual arousal, Splenic artery aneurysm",

author = "L{\"o}hr, {J. Matthias} and Dietmar Dinter and Diehl, {Steffen J.} and Haas, {Stephan L.} and Mira Veeser and Roland Pf{\"u}tzer and J{\"u}rgen Retter and Sch{\"o}nberg, {Stefan O.} and Christoph D{\"u}ber and Volker Keim and Dirk Schadendorf and Heiko Witt",

year = "2013",

doi = "10.1016/j.pan.2013.06.001",

language = "English",

volume = "13",

pages = "553--556",

journal = "Pancreatology",

issn = "1424-3903",

publisher = "Elsevier BV",

number = "5",

}

TY - JOUR

T1 - Rapid progression of a splenic aneurysm due to segmental arterial mediolysis

T2 - A rare cause of acute pancreatitis

AU - Löhr, J. Matthias

AU - Dinter, Dietmar

AU - Diehl, Steffen J.

AU - Haas, Stephan L.

AU - Veeser, Mira

AU - Pfützer, Roland

AU - Retter, Jürgen

AU - Schönberg, Stefan O.

AU - Düber, Christoph

AU - Keim, Volker

AU - Schadendorf, Dirk

AU - Witt, Heiko

PY - 2013

Y1 - 2013

N2 - Background: The etiology of acute pancreatitis can be manifold, beside the usual causes.We are reporting an unusual cause that triggered acute pancreatitis. Patient & results: A 50 year-old male experienced attacks of acute pancreatitis (abdominal pain and elevated amylase and lipase) during sexual arousal. Serial imaging showed a rapidly-progressing, partlythrombosed splenic artery aneurysm, with local compression of the pancreas. After angiographic coiling, the attacks subsided. Further angiography revealed additional aneurysms consistent with segmental arterial mediolysis at other sites of the body. Molecular analysis regarding EhlerseDanlos-syndrome and genetic factors for pancreatitis, autoantibodies and Syphilis serology was negative. Conclusions: Acute pancreatitis was triggered by a transient rise in blood pressure during sexual stimulation, which caused rapid progression of a splenic artery aneurysm as part of systemic segmental arterial mediolysis.

AB - Background: The etiology of acute pancreatitis can be manifold, beside the usual causes.We are reporting an unusual cause that triggered acute pancreatitis. Patient & results: A 50 year-old male experienced attacks of acute pancreatitis (abdominal pain and elevated amylase and lipase) during sexual arousal. Serial imaging showed a rapidly-progressing, partlythrombosed splenic artery aneurysm, with local compression of the pancreas. After angiographic coiling, the attacks subsided. Further angiography revealed additional aneurysms consistent with segmental arterial mediolysis at other sites of the body. Molecular analysis regarding EhlerseDanlos-syndrome and genetic factors for pancreatitis, autoantibodies and Syphilis serology was negative. Conclusions: Acute pancreatitis was triggered by a transient rise in blood pressure during sexual stimulation, which caused rapid progression of a splenic artery aneurysm as part of systemic segmental arterial mediolysis.

KW - Acute pancreatitis

KW - Hypertension

KW - Segmental arterial mediolysis

KW - Sexual arousal

KW - Splenic artery aneurysm

UR - http://www.scopus.com/inward/record.url?scp=84892600998&partnerID=8YFLogxK

U2 - 10.1016/j.pan.2013.06.001

DO - 10.1016/j.pan.2013.06.001

M3 - Article

C2 - 24075524

AN - SCOPUS:84892600998

SN - 1424-3903

VL - 13

SP - 553

EP - 556

JO - Pancreatology

JF - Pancreatology

IS - 5

ER -

Rapid progression of a splenic aneurysm due to segmental arterial mediolysis: A rare cause of acute pancreatitis

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this