Pancreatitis pseudoaneurysm

Puri S, Nicholson AA, Breen DJ (2003) Percutaneous thrombin injection for the treatment of a post-pancreatitis pseudoaneurysm. Eur Radiol 13 L79-L82... [Pg.98]

Sparrow P, Asquith J, Chalmers N (2003) Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin. Cardiovasc Intervent Radiol 26 312-315... [Pg.98]

A 55-year-old woman with a history of chronic pancreatitis developed epigastric pain and melena and was found to have a splenic artery pseudoaneurysm expanding a pseudocyst. She was given an intravenous bolus of octreotide followed by an infusion of 50 micrograms/ hour. A CT scan subsequently suggested thrombosis of the pseudoaneurysm, with segmental splenic infarction. Nine months later the pseudoaneurysm had recanalized. [Pg.504]

Tang LJ, Zipser S, Kang YS. Temporary spontaneous thrombosis of a splenic artery pseudoaneurysm in chronic pancreatitis during intravenous octreotide administration. J Vase Interv Radiol 2005 16(6) 863-6. [Pg.507]

De Rone T, VanBeers B, de Canniere L, Trigaux JP, Melange M. Thrombosis of splenic artery pseudoaneurysm complicating pancreatitis Gut 1993 34 1271-3. [Pg.507]

Congenital anomalies and aneurysms in the hepatic arteries are very rare. (129) Acquired aneurysms are the result of vessel wall damage, injuries or inflammatory processes. (I3l, 133, 136) Pseudoaneurysms may occur after acute pancreatitis and the formation of pseudocysts. (135) (s. tab. 39.5)... [Pg.837]

Golzarian J, Nicaise N, Deviere J, et al. (1997) Transcatheter embolization of pseudoaneurysms complicating pancreatitis. Cardiovasc Intervent Radiol 20 435-440... [Pg.10]

Ultrasound is useful for many aspects of pancreatitis but has a sensitivity of less than 73% for visceral pseudoaneurysm in the condition, vdiereas contrast enhanced computer tomography (CECT) has a sensitivity of almost 100% [22]. CECT is also very useful in terms of endovascular treatment as it can indicate what type of aneurysm has formed, which artery it has formed from and whether there is more than one. [Pg.91]

Fig. 7.6a-d. A 48-year-old man with chronic pancreatitis developed further abdominal pain. CECT revealed a pseudoaneurysm in his lesser sac (a). Selective and super selective angiography failed to demonstrate any source for the pseudoaneurysm (b). It was therefore percutaneously punctured with a 21-Gauge needle (c) and thrombosed with 2000 units of autologous thrombin. CECT at 1 week demonstrated occlusion of the pseudoaneurysm (d)... [Pg.93]

Fig.7.7a,b. Front and back door embolization of a splenic artery pseudoaneurysm (a) secondary to acute on chronic pancreatitis with a good result (b). This patient is alive and well with no recurrence at 52 months... [Pg.94]

The complications of embolization for pancreatitis associated visceral pseudoaneurysms are the same as for the treatment of haemobilia. In addition and as mentioned the repeated use of bovine or human thrombin can lead to anaphylaxis and though rare, autologous thrombin is recommended. [Pg.98]

Aneurysms and pseudoaneurysms causing haemobilia or associated with pancreatitis are potentially fatal. Imaging, particularly CECT, is vital to their diagnosis. Conservative therapy is a poor option and treatment, which was formally via open surgery, is now best carried out by angiography and percutaneous coil embolization in haemobilia and for Type la and b pancreatitis associated pseudoaneurysms. Percutaneous CT guided thrombin therapy is indicated for Type 2 aneurysms. [Pg.98]

Van Langenhove P, Defreyne L, Kunnen M (1999) Spontaneous thrombosis of a pseudoaneurysm complicated pancreatitis. Abdominal Imaging 24 491-493... [Pg.98]

Woods MS, Traverso LW, El Hamel A, Parc R, Adda G (1991) Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis. Br J Surg 78 1059-1063... [Pg.98]

Uflacker R, Diehl JC (1982) Successful embolisation of a bleeding splenic artery pseudoaneurysm secondary to necrotising pancreatitis. Gastrointest Radiol 7 379-382... [Pg.98]

Morita R, Muto N, Konagayer M et al (1991) SuccessM transcatheter embolisationof pseudoaneurysm associated with pancreatic pseudocyst. Am J Gastroenterol 86 1264-1267... [Pg.98]

Stabile BE, Wison SE, Debas HT (1983) Reduced mortality from bleeding pseudocysts and pseudoaneurysm caused by pancreatitis. Arch Surg 118 115... [Pg.98]

Capek P, Rocco M, McGahan J et al (1992) Direct aneurysm puncture and coil occlusion a new approach to pari-pancreatic arterial pseudoaneurysms. JVIR 3 653-656... [Pg.98]

Lee MJ, Saini S, Geller SC, WarshawAL, Mueller PR (1991) Pancreatitis with pseudoaneurysm formation a pitfall for the interventional radiologist. AJR 156 97-98... [Pg.98]

Armstrong EM, Edwards A, Kingsnorth AN et al (2003) Ultrasound guided thrombin injection to treat a pseudoaneurysm secondary to chronic pancreatitis. Eur J Vase Endovasc Surg 26 448-449... [Pg.98]

Tessier DJ, Fowl RJ, Stone WM, McKusick MA, Abbas MA, Sarr MG et al. (2003) Iatrogenic hepatic artery pseudoaneurysms an uncommon complication after hepatic, biliary, and pancreatic procedures. Ann Vase Surg 17 663-669... [Pg.97]

Similarly, adjacent inflammatory changes such as pancreatitis can cause compromise of vessel wall integrity. Proteolytic degradation can occur if pancreatic enzymes come in contact with arteries. Gastroduodenal and pancreaticoduodenal pseudoaneurysms are especially prone to rupture in the presence of duodenal ulceration, pancreatitis, or pseudocyst formation [6,7]. These should be treated regardless of size. [Pg.100]

Generally, SMA aneurysms are mycotic, celiac aneurysms develop from cystic medial degeneration, GDA pseudoaneurysms occur in the presence of duodenal ulceration, and gastroepiploic and pancreaticoduodenal aneurysms arise secondary to inflammatory changes from pancreatitis. Other causes include polyarteritis nodosa, amphetamine abuse, and connective tissue disorders. [Pg.111]

Often, pseudoaneurysm formation in the pancreaticoduodenal, SMA, and IMA distributions is due to adjacent inflammatory processes such as pancreatitis or diverticulitis. (Fig. 8.7) Hematomas in the mesentery can become abscesses. Even though microcoils are used in these instances, it is unwise to implant a stent graft into a potentially infected bed. [Pg.111]

Deshmukh H et al. (2004) Transcatheter embolization as primary treatment for visceral pseudoaneurysms in pancreatitis clinical outcome and imaging follow up. Indian J Castroenterol 23 56-58... [Pg.115]

Carr JA et al. (2000) Visceral pseudoaneurysms due to pancreatic pseudocysts rare but lethal complications of pancreatitis. J Vase Surg 32 722-730... [Pg.115]

Brountzos EN et al. (2003) Pancreatitis-associated splenic artery pseudoaneurysm endovascular treatment with self-expandable stent-grafts. Cardiovasc Intervent Radiol 26 88-91... [Pg.116]

Complications of the pancreatic graft itself are an important cause of morbidity in the early posttransplant period. These complications include pancreatitis, pseudocyst formation including expansion, infection with abscess formation, pseudoaneurysm formation, leakage of the enteric anastomosis or duodenal stump, and small bowel obstruction. Self-limited edematous... [Pg.222]

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