PURPOSE: To evaluate the therapeutic role of angiography in patients with pseudoaneurysms complicating pancreatitis. METHODS: Thirteen symptomatic pseudoaneurysms were treated in nine patients with pancreatitis. Eight patients had chronic pancreatitis and pseudocyst and one had acute pancreatitis. Clinical presentation included gastrointestinal bleeding in seven patients and epigastric pain without bleeding in two. All patients underwent transcatheter embolization. RESULTS: Transcatheter embolization resulted in symptomatic resolution in all patients. Rebleeding occurred in two patients, 18 and 28 days after embolization respectively, and was successfully treated by repeated embolization. One patient with severe pancreatitis died from sepsis 28 days after embolization. Follow-up was then available for eight patients with no relapse of bleeding after a mean follow-up of 32 months (range 9-48 months). CONCLUSION: Transcatheter embolization is safe and effective in the management of pseudoaneurysms complicating pancreatitis.
PURPOSE: To evaluate the therapeutic role of angiography in patients with pseudoaneurysms complicating pancreatitis. METHODS: Thirteen symptomatic pseudoaneurysms were treated in nine patients with pancreatitis. Eight patients had chronic pancreatitis and pseudocyst and one had acute pancreatitis. Clinical presentation included gastrointestinal bleeding in seven patients and epigastric pain without bleeding in two. All patients underwent transcatheter embolization. RESULTS: Transcatheter embolization resulted in symptomatic resolution in all patients. Rebleeding occurred in two patients, 18 and 28 days after embolization respectively, and was successfully treated by repeated embolization. One patient with severe pancreatitis died from sepsis 28 days after embolization. Follow-up was then available for eight patients with no relapse of bleeding after a mean follow-up of 32 months (range 9-48 months). CONCLUSION: Transcatheter embolization is safe and effective in the management of pseudoaneurysms complicating pancreatitis.
Authors: Yoo Min Han; Jong Yeul Lee; Il Ju Choi; Chan Gyoo Kim; Soo-Jeong Cho; Jun Ho Lee; Hyun Beom Kim; Ji Min Choi Journal: Clin Endosc Date: 2014-03-31
Authors: Mustafa Z Mahmoud; Mohammed Al-Saadi; Abdulwahab Abuderman; Khalid S Alzimami; Mohammed Alkhorayef; Babikir Almagli; Abdelmoneim Sulieman Journal: World J Radiol Date: 2015-05-28
Authors: Jinoo Kim; Ji Hoon Shin; Hyun Ki Yoon; Gi Young Ko; Dong Il Gwon; Eun Young Kim; Kyu Bo Sung Journal: Diagn Interv Radiol Date: 2015 Mar-Apr Impact factor: 2.630