Abstract
We present a woman in her 70s who experienced 2 episodes of pancreatitis within 4 months. She was diagnosed with a microcystic-type serous neoplasm 3 years prior. The second acute pancreatitis episode was complicated by intracystic hemorrhage due to a pseudoaneurysm, which was treated successfully with coil embolization. Although large serous neoplasms are associated with complications, a combination of recurrent pancreatitis and intracystic hemorrhage due to pseudoaneurysm is extremely rare.