| Angiographic embolization of arterial hemorrhage following endoscopic US-guided cystogastrostomy for pancreatic pseudocyst drainage. | |
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MedLine Citation:
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PMID: 18306147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pseudocyst development is a common complication of chronic pancreatitis. Endoscopic cystogastrostomy is an alternative to percutaneous drainage of pancreatic pseudocysts. Endoscopic ultrasound (EUS) guidance is thought to decrease the procedural risk by identifying and avoiding intervening vasculature. With EUS guidance, extreme care should be exercised to identify large gastric vessels in the path of the puncture. Preoperative imaging should be closely scrutinized for the presence of these vessels. In cases of hemorrhage, balloon tamponading is a rapid way to provide temporary control, allowing transfer of the patient for angiographic embolization. We present a case of arterial hemorrhage due to inadvertent puncture of a hypertrophied right gastric artery following EUS-guided cystogastrostomy, which was successfully treated with temporary balloon occlusion and coil embolization. |
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Authors:
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Jonathan L Brandon; Nathan M Ruden; Ulkü Cenk Turba; Uğur Bozlar; Paul Yeaton; Klaus D Hagspiel |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Diagnostic and interventional radiology (Ankara, Turkey) Volume: 14 ISSN: 1305-3825 ISO Abbreviation: - Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-28 Completed Date: 2008-06-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101241152 Medline TA: Diagn Interv Radiol Country: Turkey |
Other Details:
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Languages: eng Pagination: 57-60 Citation Subset: IM |
Affiliation:
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Medical School, University of Virginia, Charlottesville, VA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Diagnosis, Differential Embolization, Therapeutic Endoscopy / adverse effects Gastrointestinal Hemorrhage / diagnosis*, etiology, therapy Gastrostomy / adverse effects* Humans Male Middle Aged Pancreatic Pseudocyst / pathology, radiography, surgery* Postoperative Complications Tomography, X-Ray Computed Ultrasonography, Interventional / adverse effects |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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