Laparoscopic-assisted management of a superior mesenteric artery pseudoaneurysm secondary to chronic pancreatitis: a rare case report

Superior mesenteric artery (SMA) pseudoaneurysms are rare but potentially life-threatening complications of chronic pancreatitis. This case report describes a 68-year-old African American female with a history of chronic pancreatitis who presented with acute periumbilical pain. Imaging revealed a 1.2 cm SMA pseudoaneurysm. Given the distal location and high rupture risk, the pseudoaneurysm was surgically resected following laparoscopic localization with open ligation. The patient recovered uneventfully and was discharged on postoperative day 3. This case underscores the importance of early recognition and a multidisciplinary approach in managing SMA pseudoaneurysms.