Document Detail


Embolization coils migrating and being passed per rectum after embolization of a splenic artery pseudoaneurysm, "the migrating coil": a case report.
MedLine Citation:
PMID:  17882482     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute or chronic blood loss from pseudoaneurysms of the splanchnic artery in chronic pancreatitis poses diagnostic and management challenges. Arteriographic examination offers both diagnostic and therapeutic options, with success rates of 76%-100% for both modalities. In cases of failure of embolization, repeat embolization is also an option. Surgical intervention is advocated for rebleeding and failure of embolization. Evidence-based guidelines regarding the optimal treatment modality for this condition are lacking. There has been a reported case of dislodgement of coil into the stomach through a gastropseudocystic fistula. We report the case of a migrating steel-wire coil through the gastrointestinal tract and splenic artery pseudoaneurysm. We highlight the potential complications of pseudoaneurysm and other available therapeutic management options.
Authors:
Numan A Shah; Akinfemi Akingboye; Nandon Haldipur; James Y Mackinlay; George Jacob
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-09-20
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-05     Completed Date:  2008-02-25     Revised Date:  2009-04-16    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1259-62     Citation Subset:  IM    
Affiliation:
Doncaster and Bassetlaw NHS Trust, Doncaster Royal Infirmary, Thorne Road, Doncaster, South Yorkshire DN2 5LT, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / radiography,  therapy*
Angiography
Embolization, Therapeutic / instrumentation*
Female
Foreign-Body Migration / radiography*
Humans
Rectum*
Splenic Artery*
Tomography, X-Ray Computed
Comments/Corrections
Comment In:
Cardiovasc Intervent Radiol. 2009 Jan;32(1):195-6   [PMID:  18389182 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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