Aneurysms secondary to pancreatitis

White, Alan F.; Baum, Stanley; Buranasiri, S

doi:10.2214/ajr.127.3.393

Cited by 209 publications

(94 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Haemorrhage can occur into the pancreatic parenchyma, peritoneal cavity or into the gastrointestinal tract. 10 The sensitivity of CT angiogram to detect the source of bleed in our series was 80.76% and as per the current literature evidence it is 90%. 11 The success rate of angioembolisation in our series was 92.31%.…”

Section: Table 3 Results-endovascular Angioembolisationsupporting

confidence: 76%

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Swamigowda¹,

Casaba²,

Kumar³

et al. 2018

jebmh

View full text Add to dashboard Cite

BACKGROUND Peripancreatic haemorrhage though rare, has lethal outcomes. This rare scenario is a consequence of pancreatic diseases per se as well as surgical complication of pancreatobiliary surgery. The aim of this study is to present the retrospective analysis of our experience on the common aetiologies, clinical presentations and various approaches for the management of Peripancreatic haemorrhage.

show abstract

Section: Table 3 Results-endovascular Angioembolisationsupporting

confidence: 76%

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Swamigowda¹,

Casaba²,

Kumar³

et al. 2018

jebmh

View full text Add to dashboard Cite

show abstract

“…The most common vascular complications are haemorrhage into a pseudocyst, thromboses of portal or splenic veins, leading to varices, and formation of peripancreatitic pseudoaneurysms. A pseudoaneurysm has been reported to occur in 3.5–10% of the patients with pancreatitis [4, 5]. A pseudoaneurysm may develop from vessel wall erosion from an adjacent pseudocyst secondary to uncontrolled, severe inflammation necrotizing the vessel wall [1].…”

Section: Discussionmentioning

confidence: 99%

“…It may also occur as a result of release of pancreatic enzymes eroding the peripancreatic vessels [4]. Occasionally, even vessels distant to the pancreas may be involved [5, 6]. The arteries involved include, in order of frequency, splenic (40%), gastroduodenal (30%), pancreaticoduodenal (20%), gastric (5%), and hepatic (2%) veins and others such as superior mesenteric, jejunal, or ileocaecal veins (1–3%) [4].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Thrombin Embolization of a Ruptured Peripancreatic Pseudoaneurysm

Ward¹,

Buckley²,

Doody³

et al. 2007

Digestion

View full text Add to dashboard Cite

Peripancreatic pseudoaneurysm formation is a recognized complication of pancreatitis. When associated with an acute episode of pancreatitis, surgical treatment is often difficult due to the inflammatory process that surrounds the pseudoaneurysm. In the stable patient, transcatheter embolization is the treatment of choice of this complication. However, this is not always technically feasible, as the aneurysm may be supplied by small inaccessible branch vessels. Recently, percutaneous thrombin injection has been described as a possible alternative for pseudoaneurysms. This is generally performed under computed tomography guidance in stable patients with non-ruptured pseudoaneurysms. We describe an acutely ruptured peripancreatic pseudoaneurysm in a critically ill patient, in whom percutaneous thrombin injection under computed tomography guidance resulted in immediate stabilization and cure of the pseudoaneurysm.

show abstract

“…Pseudoaneurysm is an apparent common complication of pancreatitis with a reported incidence of 10% [12]. Erosion into a hollow viscus, pancreatic duct or intraperitoneal rupture, however, are rare complications, probably related to the location of the false aneurysm and its size.…”

Section: Discussionmentioning

confidence: 99%