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Published on: January 3, 2020
Microcoils embolization of splenic artery pseudoaneurysm complicated with chronic pancreatitis
Leo Leung-chit Tsang1, Tze Yu Lee, Tai Yi Chen
1Department of Diagnostic Radiology, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan.
Abstract:
Chronic pancreatitis is known to cause vascular complications including pseudoaneurysm of peripancreatic arteries that can lead to massive gastrointestinal bleeding. We report a 30-year-old man with splenic artery pseudoaneurysm formation secondary to chronic pancreatitis. The bleeding was successfully controlled by superselective microcoils embolization of the pseudoaneurysm with splenic preservation. The patient was discharged in 2 days with complete recovery. We consider superselective transcatheter embolization as one of the safest procedures and should be considered as a therapeutic option in the management of pseudoaneurysm caused by pancreatitis.
Insights
Chronic pancreatitis can cause dangerous pseudoaneurysms, leading to bleeding. Superselective embolization successfully treated a splenic artery pseudoaneurysm in a patient, preserving the spleen and ensuring a full recovery.
Area of Science:
- Gastroenterology and Interventional Radiology
Background:
- Chronic pancreatitis is a risk factor for vascular complications.
- Pseudoaneurysms of peripancreatic arteries can result from chronic pancreatitis.
- Massive gastrointestinal bleeding is a potential consequence of these pseudoaneurysms.
Observation:
- A 30-year-old male presented with a splenic artery pseudoaneurysm secondary to chronic pancreatitis.
- The pseudoaneurysm was causing significant bleeding.
Findings:
- Superselective microcoils embolization was performed to treat the splenic artery pseudoaneurysm.
- The procedure successfully controlled the bleeding.
- The patient's spleen was preserved.
- The patient recovered completely and was discharged within 2 days.
Implications:
- Superselective transcatheter embolization is a safe and effective treatment for pancreatitis-induced pseudoaneurysms.
- This minimally invasive technique offers a valuable therapeutic option for managing such vascular complications.
- Spleen preservation is achievable with this interventional approach.
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