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Transcatheter embolization of anticoagulation related pancreatic pseudocyst hemorrhage: A case report
Naomi K Atkins1, Blake M Kramer1, Charles A Kitley2
1Department of Radiology, University of Missouri, One Hospital Drive, Columbia, MO 65212.
Abstract:
Hemorrhage associated with anticoagulation therapy is a feared and relatively common complication. Few cases have been documented of spontaneous pancreatic hemorrhage related to anticoagulation, and fewer yet of ruptured pancreatic pseudocyst secondary to anticoagulation-related bleeding. We describe the case of a 74-year-old female with massive intra- and extraperitoneal hemorrhage secondary to an anticoagulation-related ruptured hemorrhagic pancreatic pseudocyst that was treated successfully with coil embolization. An inferior vena cava filter was placed at the same time as the embolization procedure, as she had a contraindication for anticoagulation in the setting of submassive pulmonary emboli and lower extremity deep venous thrombosis.
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