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Pseudoaneurysm of the Mesenteric Artery Status Post Drain Placement for Complicated Diverticulitis

Brianna L Spencer1, Michael Deutsch2

  • 1Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Cureus
|February 3, 2021
PubMed

Insights

Perforated diverticulitis with abscesses can often be treated non-operatively with image-guided drainage. However, this procedure carries a rare risk of pseudoaneurysm formation.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Surgical Oncology

Background:

  • Perforated diverticulitis is a complex surgical condition.
  • Abscess formation in patients without acute symptoms may be managed non-operatively.
  • Early intervention is crucial for improving patient outcomes.

Observation:

  • Image-guided drainage is a relatively safe procedure for managing diverticular abscesses.
  • Non-operative management can significantly alter the hospital course and overall prognosis.
  • A rare but serious complication of image-guided drainage is pseudoaneurysm formation.

Findings:

  • Image-guided drainage offers a less invasive option for select patients with perforated diverticulitis.
  • The benefits of image-guided drainage must be weighed against potential risks.
  • Pseudoaneurysm is an uncommon but significant risk associated with this intervention.

Implications:

  • Non-operative management strategies, including image-guided drainage, are valuable tools in treating perforated diverticulitis.
  • Awareness of rare complications like pseudoaneurysm formation is essential for informed consent and patient safety.
  • Further research may focus on minimizing risks and optimizing outcomes for image-guided interventions in diverticulitis.
Keywords:
colon abscesscomplicated diverticulitisct guided drainagediverticulitispseudoaneurysm

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