Document Detail

Hemosuccus pancreaticus in a patient with iodine allergy: successful diagnosis with magnetic resonance imaging and treatment with transarterial embolization using carbon dioxide as the contrast medium.
MedLine Citation:
PMID:  19159972     Owner:  NLM     Status:  MEDLINE    
Hemosuccus pancreaticus (HP) is defined as gastrointestinal bleeding via the pancreatic duct and duodenal papilla. Since the bleeding is usually intermittent, it often remains undetected by endoscopy. Most cases are diagnosed by contrast-enhanced computed tomography (CT) or angiography, and the first-line treatment is transarterial embolization (TAE). However, in general, these modalities require a large amount of iodinated contrast medium. Here, we report the case of a 50-year-old female with HP due to chronic pancreatitis. Contrast-enhanced CT and ordinary angiography were contraindicated for her, as she was allergic to iodine. She was diagnosed with HP following gadolinium-enhanced magnetic resonance imaging and successfully treated by TAE of the splenic artery with metallic coils using carbon dioxide as the contrast medium.
Soichiro Miki; Kensaku Mori; Shiigai Masanari; Toshihiro Furuta; Tsukasa Saida; Makiko Hiratsuka; Eriko Tohno; Manabu Minami
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-01-22
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  32     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-03-01     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1296-9     Citation Subset:  IM    
Department of Radiology, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ward, Tokyo, 113-8655, Japan.
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MeSH Terms
Aneurysm, False / complications*,  diagnosis*,  etiology
Angiography, Digital Subtraction
Carbon Dioxide / diagnostic use*
Contrast Media
Drug Hypersensitivity / immunology
Embolization, Therapeutic / methods*
Gadolinium DTPA / diagnostic use
Gastrointestinal Hemorrhage / diagnosis*,  etiology,  therapy*
Iodine / immunology
Magnetic Resonance Imaging / methods*
Middle Aged
Pancreatic Ducts*
Pancreatitis / complications*
Splenic Artery
Reg. No./Substance:
0/Contrast Media; 124-38-9/Carbon Dioxide; 7553-56-2/Iodine; 80529-93-7/Gadolinium DTPA
Comment In:
Cardiovasc Intervent Radiol. 2010 Apr;33(2):435-6; author reply 437   [PMID:  20087736 ]

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

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