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Distal Pancreatic Necrosis After Splenic Angioembolization
Rachel Yoo1, Michael D Gaziano2, Vicente Cortes1
1Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA.
Splenic angioembolization (SAE) can rarely cause pancreatic ischemia and necrosis. Physicians should monitor for sepsis after SAE, indicating potential pancreatic complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Surgical Pathology
Background:
- Splenic angioembolization (SAE) is a common procedure for managing splenic trauma.
- Complications, though rare, necessitate thorough investigation and awareness.
Observation:
- A 48-year-old male with Grade IV blunt splenic injury underwent proximal SAE.
- One week post-procedure, the patient developed severe sepsis.
Findings:
- CT imaging revealed distal pancreatic nonperfusion.
- Laparotomy confirmed approximately 40% pancreatic necrosis.
- Subsequent distal pancreatectomy and splenectomy were performed.
Implications:
- Pancreatic ischemia is an extremely rare but serious complication of SAE.
- Clinicians must maintain a high index of suspicion for ischemic pancreatic complications in patients presenting with sepsis post-SAE.
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