Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report
Pancreatic pseudoaneurysm is a rare vascular complication of chronic pancreatitis resulting from erosion of the pancreatic or peripancreatic artery into a pseudocyst that is identified as a pulsating vascular malformation which may lead to lethal complications if left untreated. Many publications in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2012-05-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/338845 |
| _version_ | 1819169872867753984 |
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| author | Kuang-En Chu Cheuk-Kay Sun Chin-Chu Wu Kuo-Ching Yang |
| author_facet | Kuang-En Chu Cheuk-Kay Sun Chin-Chu Wu Kuo-Ching Yang |
| author_sort | Kuang-En Chu |
| collection | DOAJ |
| description | Pancreatic pseudoaneurysm is a rare vascular complication of chronic pancreatitis resulting from erosion of the pancreatic or peripancreatic artery into a pseudocyst that is identified as a pulsating vascular malformation which may lead to lethal complications if left untreated. Many publications in the literature consider angiography as the first step in the management of pancreatic pseudoaneurysm to stabilize the patient’s critical condition; it should be followed by surgical intervention as the definite treatment. We report a rare case of pancreatic pseudoaneurysm rupture with hemodynamic embarrassment in a critical patient with multiple comorbid conditions and poor risk for surgery who responded dramatically to angiographic management as a single therapeutic modality without further surgical intervention. The results observed in our patient suggest that pancreatic pseudoaneurysm may be successfully managed with angiography only and that not all cases require surgical intervention. This is particularly relevant in critically ill patients in whom surgical intervention would be unfeasible. |
| first_indexed | 2024-12-22T19:26:24Z |
| format | Article |
| id | doaj.art-b352b663fa3a41be95ee2d4bf573c008 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-22T19:26:24Z |
| publishDate | 2012-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-b352b663fa3a41be95ee2d4bf573c0082022-12-21T18:15:14ZengKarger PublishersCase Reports in Gastroenterology1662-06312012-05-016225425910.1159/000338845338845Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case ReportKuang-En ChuCheuk-Kay SunChin-Chu WuKuo-Ching YangPancreatic pseudoaneurysm is a rare vascular complication of chronic pancreatitis resulting from erosion of the pancreatic or peripancreatic artery into a pseudocyst that is identified as a pulsating vascular malformation which may lead to lethal complications if left untreated. Many publications in the literature consider angiography as the first step in the management of pancreatic pseudoaneurysm to stabilize the patient’s critical condition; it should be followed by surgical intervention as the definite treatment. We report a rare case of pancreatic pseudoaneurysm rupture with hemodynamic embarrassment in a critical patient with multiple comorbid conditions and poor risk for surgery who responded dramatically to angiographic management as a single therapeutic modality without further surgical intervention. The results observed in our patient suggest that pancreatic pseudoaneurysm may be successfully managed with angiography only and that not all cases require surgical intervention. This is particularly relevant in critically ill patients in whom surgical intervention would be unfeasible.http://www.karger.com/Article/FullText/338845PseudoaneurysmPancreatitisAngiographyArterial embolization |
| spellingShingle | Kuang-En Chu Cheuk-Kay Sun Chin-Chu Wu Kuo-Ching Yang Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report Case Reports in Gastroenterology Pseudoaneurysm Pancreatitis Angiography Arterial embolization |
| title | Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report |
| title_full | Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report |
| title_fullStr | Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report |
| title_full_unstemmed | Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report |
| title_short | Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report |
| title_sort | complete remission of pancreatic pseudoaneurysm rupture with arterial embolization in a patient with poor risk for surgery a case report |
| topic | Pseudoaneurysm Pancreatitis Angiography Arterial embolization |
| url | http://www.karger.com/Article/FullText/338845 |
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