Endovascular repair of symptomatic fistulized pancreatic pseudocyst to superior mesenteric artery.

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.