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Embolization of bleeding transverse pancreatic artery aneurysms
Cardiovascular and Interventional Radiology
|January 1, 1982
Summary
Bleeding from visceral artery aneurysms is a risk in pancreatitis patients, particularly with pseudocysts or abscesses. Successful embolization of a transverse pancreatic artery aneurysm and splenic vein occlusion is reported.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Visceral artery aneurysms can cause significant bleeding, especially in patients with pancreatitis.
- Pancreatitis complications like pseudocysts and abscesses increase the risk of aneurysm rupture and hemorrhage.
Observation:
- A case of transverse pancreatic artery aneurysm in a patient with pancreatitis is presented.
- The patient also had gastric varices secondary to isolated splenic vein occlusion.
Findings:
- Successful endovascular embolization of the transverse pancreatic artery aneurysm was achieved.
- Gelfoam embolization of 80% of the spleen effectively decompressed gastric varices and managed splenic vein occlusion.
Implications:
- This case highlights the importance of suspecting and managing visceral artery aneurysms in pancreatitis patients.
- Endovascular embolization offers a viable treatment option for these complex vascular complications.
- Management of splenic vein occlusion and associated gastric varices can be effectively addressed through splenic artery embolization.