PMID: 8996896Nov 1, 1996Paper

Arterial complications of pancreatitis and their radiological management

Australasian Radiology
V SawlaniR B Gujral

Abstract

Arterial haemorrhage from pseudoaneurysm in pancreatitis patients is a formidable complication with a high mortality rate. We encountered six patients in whom a pseudoaneurysm was demonstrated at angiography. Drainage of associated pseudocyst facilitated visualization in one patient. Four patients had pseudoaneurysms arising from the proximal part of the major peripancreatic vessels and were treated by steel coil embolization (n = 3) and surgically (n = 1). There was no episode of rebleeding in these patients during a follow-up period of 10-18 months. Of the two patients with distal small peripancreatic branch vessel involvement hydrogel particle and gelfoam embolization was successful only temporarily in one patient and unsuccessful in the other patient. The literature is reviewed and the efficacy of steel coil embolization is emphasized.

References

Sep 1, 1976·AJR. American Journal of Roentgenology·A F WhiteS Buranasiri
Nov 1, 1986·Radiology·J W BurkeM F Hansen
Feb 1, 1993·The Journal of Surgical Research·D B AdamsM C Anderson

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Citations

May 2, 2013·The Surgical Clinics of North America·Ronald F Martin, Amanda R Hein
Feb 27, 1999·Gastrointestinal Endoscopy·L J BornG A Lehman

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