Document Detail


Percutaneous thrombin embolization of a ruptured peripancreatic pseudoaneurysm.
MedLine Citation:
PMID:  18174678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peripancreatic pseudoaneurysm formation is a recognized complication of pancreatitis. When associated with an acute episode of pancreatitis, surgical treatment is often difficult due to the inflammatory process that surrounds the pseudoaneurysm. In the stable patient, transcatheter embolization is the treatment of choice of this complication. However, this is not always technically feasible, as the aneurysm may be supplied by small inaccessible branch vessels. Recently, percutaneous thrombin injection has been described as a possible alternative for pseudoaneurysms. This is generally performed under computed tomography guidance in stable patients with non-ruptured pseudoaneurysms. We describe an acutely ruptured peripancreatic pseudoaneurysm in a critically ill patient, in whom percutaneous thrombin injection under computed tomography guidance resulted in immediate stabilization and cure of the pseudoaneurysm.
Authors:
E V M Ward; O Buckley; O Doody; P Govender; K Conlon; W C Torreggiani
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-12-21
Journal Detail:
Title:  Digestion     Volume:  76     ISSN:  1421-9867     ISO Abbreviation:  Digestion     Publication Date:  2007  
Date Detail:
Created Date:  2008-02-21     Completed Date:  2008-05-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0150472     Medline TA:  Digestion     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  188-91     Citation Subset:  IM    
Affiliation:
Department of Radiology, The Adelaide and Meath Hospital, Tallaght, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / therapy*
Aneurysm, Ruptured / therapy*
Embolization, Therapeutic*
Hemostatics / administration & dosage*
Humans
Male
Middle Aged
Pancreatic Diseases / therapy*
Thrombin / administration & dosage*
Chemical
Reg. No./Substance:
0/Hemostatics; EC 3.4.21.5/Thrombin

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


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