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Endovascular coil embolization of a pancreatic pseudoaneurysm in a child with pancreatitis
Casey J Allen1, Miosotys Curbelo2, Shaun L Samuels3
1Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 450K, Miami, FL, 33136, USA.
Insights
Pancreatic pseudoaneurysm (PSA) is a rare complication of pancreatitis. This case study shows successful endovascular management of PSA in a child, offering a less invasive treatment option.
Area of Science:
- Pediatric Gastroenterology
- Interventional Radiology
- Vascular Surgery
Background:
- Pancreatic pseudoaneurysm (PSA) is a rare but life-threatening complication of pancreatitis.
- The incidence and established treatment guidelines for pediatric PSA are not well-defined.
- Traditional management often involves surgical intervention.
Observation:
- A 6-year-old boy presented with pancreatitis complicated by a pancreatic pseudoaneurysm.
- The patient's condition was deemed suitable for a minimally invasive approach.
- Endovascular intervention was considered as a primary treatment strategy.
Findings:
- The pancreatic pseudoaneurysm in the pediatric patient was successfully treated using endovascular techniques.
- The endovascular approach resulted in a favorable outcome with no immediate complications.
- This case demonstrates the feasibility and efficacy of endovascular management for pediatric PSA.
Implications:
- Endovascular management represents a viable and potentially safer alternative to surgery for pediatric pancreatic pseudoaneurysms.
- This approach may reduce morbidity and improve recovery times in children.
- Further research is warranted to establish endovascular treatment as a standard of care in pediatric populations.
Abstract:
Pancreatic pseudoaneurysm is a rare but potentially fatal complication in pancreatitis; however, the incidence in children is not well established. Surgery has been the mainstay of treatment; however, we report a case of PSA associated with pancreatitis in a 6-year-old boy, which was successfully managed endovascularly.
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