Document Detail


Embolization of a large pancreatic pseudoaneurysm converted from pseudocyst (hemorrhagic pseudocyst).
MedLine Citation:
PMID:  18469446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Bleeding pancreatic pseudoaneurysms are a rare complication of chronic pancreatitis with a severe prognosis and high mortality. Conversion of a pancreatic pseudocyst into a pseudoaneurysm is a potentially lethal complication because, when rupture occurs, there is a high mortality rate. CASE REPORT: We describe a case of pancreatic pseudoaneurysm converted from a pseudocyst. A 57-year-old man with chronic pancreatitis and alcoholic liver cirrhosis presented with abdominal pain in the upper epigastric region. CT and a selective angiogram of the superior mesenteric artery showed a large bleeding pancreatic pseudoaneurysm. The pseudoaneurysm was successfully treated with coil embolization of the feeding artery. CONCLUSION: Endovascular trans-catheter embolization for the treatment of pancreatic pseudoaneurysms is a safe, effective and repeatable procedure with high success rates and it should be used as a treatment of choice in appropriate patients, either as a temporizing measure to control active bleeding and allow hemodynamic stabilization for a surgical procedure or as a definitive treatment.
Authors:
Karlo Novacic; Vinko Vidjak; Slaven Suknaic; Andrija Skopljanac
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-08
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  9     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-12     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  317-21     Citation Subset:  IM    
Affiliation:
Department of Interventional Radiology, University Hospital Merkur, Zagreb, Croatia. karlo.novacic@zg.t-com.hr
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology,  therapy*
Embolization, Therapeutic*
Humans
Male
Mesenteric Artery, Superior*
Middle Aged
Pancreatic Diseases / etiology,  therapy*
Pancreatic Pseudocyst / complications*
Pancreatitis, Chronic / complications
Treatment Outcome

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


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