Document Detail

Embolisation of metachronous pseudoaneurysms complicating chronic pancreatitis.
MedLine Citation:
PMID:  18332996     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: Pseudoaneurysm bleeding is a well-described complication of chronic pancreatitis. Reports of embolisation therapy for metachronous pseudoaneurysms in this condition are rare. We present such a patient and describe his management. CASE OUTLINE: A 5 1-year-old man with chronic pancreatitis who presented with recurrent occult major gastrointestinal bleeding underwent angiography on two separate occasions, 2 years apart. Initial intervention revealed the origin of the coeliac axis to be occluded or absent, and a splenic artery (SA) aneurysm, feeding via the superior mesenteric artery, was embolised. Subsequent angiography after a major bleed showed a new pseudoaneurysm in the head of pancreas feeding from an aberrant hepatic artery, which was embolised. The second angiogram confirmed persistent occlusion of the SA aneurysm and 6 months follow-up showed no evidence of recurrence of the second aneurysm. DISCUSSION: The resolution of these metachronous pseudoaneurysms by angiographic embolisation attests to the validity of this approach as potentially definitive and repeatable therapy.
W R Pillay; S Lalloo; S R Thomson; M A Conrads
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  HPB : the official journal of the International Hepato Pancreato Biliary Association     Volume:  5     ISSN:  1365-182X     ISO Abbreviation:  HPB (Oxford)     Publication Date:  2003  
Date Detail:
Created Date:  2008-03-11     Completed Date:  2010-06-10     Revised Date:  2010-09-21    
Medline Journal Info:
Nlm Unique ID:  100900921     Medline TA:  HPB (Oxford)     Country:  England    
Other Details:
Languages:  eng     Pagination:  251-3     Citation Subset:  -    
Department of General Surgery, Addington Hospital, University of Natal, Durban, South Africa.
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