Inferior epigastric artery pseudoaneurysm secondary to port placement during a robot-assisted laparoscopic radical cystectomy

Tufano, Antonella; Minelli, Rocco; Rossi, Eugenio; Brillantino, Carmela; Serafino, Marco Di; Zeccolini, Massimo; Cantisani, Vito; Vallone, Gianfranco

doi:10.1007/s40477-020-00442-1

Cited by 20 publications

(10 citation statements)

References 14 publications

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“…These patients are often very debilitated and, in this way, they present a high surgical risk [4]. Imaging plays a key role in the detection of these conditions, and the main diagnostic tools are ultrasound (US), Doppler US, contrast enhanced US (CEUS), CT, and magnetic resonance imaging (MRI) [8,16,[20][21][22][23][24]. Doppler US is the first choice for pregnant patients, and it can be effective and sufficient, depicting precisely the location and the morphology of the false aneurysm in superficial anatomical districts, but it has a lower accuracy in abdomen, because of intestinal bloating, and has many limitations in emergency settings if the patient is not collaborating, while CEUS was recently proven to be a powerful new tool to detect false aneurysms, both for the first diagnosis, in patients with a clinical suspicion, and for follow-up after treatment, allowing a faster, easier, cheaper, repeatable, and above all, valid and effective radiation-free imaging.…”

Section: Discussionmentioning

confidence: 99%

Successful endovascular embolization of a giant splenic artery pseudoaneurysm secondary to a huge pancreatic pseudocyst with concomitant spleen invasion

Borzelli¹,

Amodio²,

Pane³

et al. 2021

Pol J Radiol

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Pseudoaneurysms of the pancreatic and peripancreatic arteries is a well-known complication of chronic or necrotizing pancreatitis due to proteolytic enzymatic digestion of the arterial wall. A major part of peripancreatic pseudoaneurysms involve the splenic artery, but any peripancreatic artery may be involved and bleed. They are potentially life threatening for patients, due to spontaneous intraperitoneal rupture, rupture and fistulization into the surrounding organs, or fistulization into the pancreatic duct. Small ones are usually asymptomatic and are often diagnosed incidentally, while giant (> 5 cm) aneurysms and pseudoaneurysms are symptomatic and may be detected as a pulsatile mass in the upper-left quadrant or epigastrium. Imaging plays a key role in the identification of splenic artery aneurysms and pseudoaneurysms, while angiography still represents the gold standard for the diagnosis, although nowadays it plays a prominent role in treatment. Treatment of splenic artery pseudoaneurysms is mandatory because of the high probability of rupture, with a mortality rate of up to 90%. The gold standard treatment is represented by surgery, with a mortality rate between 16% and 50%. In recent years the endovascular approach has proven to be an effective alternative treatment for splenic artery pseudoaneurysms, and it is currently the method of choice. In this article, we present the case of a ant pseudoaneurysm of the splenic artery due to huge pseudocysts in a young alcoholic patient with recurrent and

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Section: Discussionmentioning

confidence: 99%

Successful endovascular embolization of a giant splenic artery pseudoaneurysm secondary to a huge pancreatic pseudocyst with concomitant spleen invasion

Borzelli¹,

Amodio²,

Pane³

et al. 2021

Pol J Radiol

View full text Add to dashboard Cite

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“…Patients presenting with uncommon conditions [ 170 , 171 ], as well as patients with extratesticular cavernous haemangiomas, lymphangiomas, and arteriovenous malformations can present with a non-specific diagnosis, or with suspicion of a varicocele based on their clinical presentation [ 172 – 174 ]. Although MRI is the modality of choice for delineating the extent of these abnormalities, in clinical practice, the diagnosis is usually obtained with US.…”

Section: Systematic Review To Address Question 15mentioning

confidence: 99%

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

et al. 2020

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Although often asymptomatic and detected incidentally, varicocele is a relatively common problem in patients who seek medical attention for infertility problems. Ultrasound (US) is the imaging modality of choice for evaluation, but there is no consensus on the diagnostic criteria, classification, and examination technique. In view of this uncertainty, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) undertook a systematic review of the available literature on this topic, to use as the basis for evidence-based guidelines and recommendations. This paper provides the results of the systematic review on which guidelines were constructed.

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“…Ultrasound has been established as a therapeutical-diagnostic tool to be used on paediatric patients, as it is a noninvasive and highly profitable system for health screening. In addition, this system makes it possible to assess different organs and organic systems and to diagnose infrequent complications [22][23][24][25][26] Vascular cannulation has experienced a major advance with the use of ultrasound-based guidance. However, such an approach requires a learning process, which should ideally be carried out in simulation models.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided pediatric vascular cannulation by inexperienced operators: outcomes in a training model

et al. 2021

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Inferior epigastric artery pseudoaneurysm secondary to port placement during a robot-assisted laparoscopic radical cystectomy

Cited by 20 publications

References 14 publications

Successful endovascular embolization of a giant splenic artery pseudoaneurysm secondary to a huge pancreatic pseudocyst with concomitant spleen invasion

Successful endovascular embolization of a giant splenic artery pseudoaneurysm secondary to a huge pancreatic pseudocyst with concomitant spleen invasion

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

Ultrasound-guided pediatric vascular cannulation by inexperienced operators: outcomes in a training model

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