Portal vein erosion and acute abdominal hemorrhage as a complication of acute pancreatitis

Ko, Hyojin; Anders, Maria Margarita; Diehl, Steffen J.; Dominguez, Enrique; Löhr, Matthias; Düber, Christoph

doi:10.1007/s00261-003-0014-1

Cited by 13 publications

(5 citation statements)

References 8 publications

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“…8). Pancreatic‐portal fistula has been reported in this situation 26 . Possibly in the majority of cases where venous pseudoaneurysm form, there is progression to venous thrombosis before the pseudoaneurysm has been diagnosed or manifests itself.…”

Section: Venous Complicationsmentioning

confidence: 95%

Vascular complications of pancreatitis

Mendelson¹,

Anderson²,

Marshall³

et al. 2005

ANZ Journal of Surgery

108

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Vascular complications of pancreatitis are a major cause of morbidity and mortality. Arterial complications include haemorrhage from direct arterial erosion or pseudoaneurysm formation, and visceral ischaemia. Venous complications predominantly are related to splanchnic vein thrombosis. This review, with illustrative cases, describes the main manifestations of these complications and emphasizes the importance of early radiological diagnosis and intervention.

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Section: Venous Complicationsmentioning

confidence: 95%

Vascular complications of pancreatitis

Mendelson¹,

Anderson²,

Marshall³

et al. 2005

ANZ Journal of Surgery

108

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“…El pseudoquiste pancreático puede producir erosión de los vasos adyacentes, dando lugar a formación de pseudoaneurismas, trombosis venosa y hemorragias. La afectación venosa con formación de una fístula con el pán-creas es una complicación muy rara 2 . Presentamos el caso de un paciente con pancreatitis crónica que presentó como complicación un pseudoquiste pancreático con rotura del mismo en la vena porta causando hemorragia con desenlace fatal.…”

Section: Rotura De Vena Porta Por Pseudoquiste Pancreático Y Hemorragunclassified

“…La presentación clínica de los pacientes que sufren una complicación vascular de la pancreatitis suele ser exacerbación repentina del dolor, distensión abdominal y síntomas clínicos de hemorragia, como hipotensión, taquicardia y taquipnea. La angiografía se considera la prueba más sen-sible para detectar la existencia y localización del punto sangrante, aunque la primera prueba diagnóstica suele ser la TC que permite identificar los pseudoaneurismas arteriales, la hemorragia dentro de un pseudoquiste y evaluar la morfología pancreática 1,2,10 . Diversos autores recomiendan realizar ecografía doppler en pacientes con pancreatitis crónica para el diagnóstico precoz de las posibles complicaciones vasculares 1,2,10 .…”

Section: Rotura De Vena Porta Por Pseudoquiste Pancreático Y Hemorragunclassified

“…La angiografía se considera la prueba más sen-sible para detectar la existencia y localización del punto sangrante, aunque la primera prueba diagnóstica suele ser la TC que permite identificar los pseudoaneurismas arteriales, la hemorragia dentro de un pseudoquiste y evaluar la morfología pancreática 1,2,10 . Diversos autores recomiendan realizar ecografía doppler en pacientes con pancreatitis crónica para el diagnóstico precoz de las posibles complicaciones vasculares 1,2,10 . La intervención quirúrgica urgente es la opción terapéu-tica correcta cuando el paciente se encuentra hemodiná-micamente inestable, pudiendo emplearse la embolización arterial en aquellos pacientes estables con evidencia angiográfica de hemorragia 3 .…”

Section: Rotura De Vena Porta Por Pseudoquiste Pancreático Y Hemorragunclassified

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Rotura de vena porta por pseudoquiste pancreático y hemorragia abdominal

et al. 2012

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“…The onset of this venous complication is very unusual: only a few cases have been reported in the literature (Procacci et al 1995;Yamamoto et al 1999;Ko et al 2003;Riddel et al 2005). The onset of this venous complication is very unusual: only a few cases have been reported in the literature (Procacci et al 1995;Yamamoto et al 1999;Ko et al 2003;Riddel et al 2005).…”

Section: Pancreatic Duct/portal Vein Fistulamentioning

confidence: 99%

Emergency Radiology

Marinček¹,

Dondelinger

2007

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Why write a book on emergency radiology? In many countries, hospital emergency departments have become a major part of the healthcare safety net. In the last decade economically-driven structural changes in health care delivery have caused a dramatic increase in emergency department visits. In response to capacity and staffing pressures, hospitals are developing and implementing a variety of strategies designed to improve patient flow and reduce overcrowding in the emergency department. Several factors are considered critical for success, such as having the right multidisciplinary teams in place and optimizing the use of imaging tests. For a critical care physician it is paramount to obtain the images quickly and for them to be interpreted accurately. To accomplish this, the emergency radiology division should be located adjacent to or within the emergency department. High quality emergency radiology services combine state-of-the art equipment and unsurpassable expertise available 24 hours a day. The demands for radiologists with specific knowledge in diagnostic and interventional emergency radiology is continuously increasing. The emergency radiology services should be equipped with sophisticated imaging (especially Multidetector Computed Tomography, MDCT) and information technologies (Picture Archiving and Communication System, PACS). The rapid development of MDCT technology has dramatically changed CT applications. In many imaging centers the volume of MDCT scans is growing at least 10% annually while the number of radiographic studies decline. There is an increasing trend towards the use of MDCT to evaluate traumatic injuries and non-traumatic emergencies. The use of workstations for reporting and for further image reconstruction becomes standard practice. On the occasion of the European Congress of Radiology (ECR) 2003 and 2004 a Categorical Course on "Emergency Radiology" has been organized to assess current developments and concepts in this rapidly growing field. Numerous radiologists, all outstanding and internationally renowned experts in their field, have made superb contributions in an ECR syllabus. These authors have now made a second effort and updated their contributions for this book. The chapters in the book mirror the topics presented in the ECR course, encompassing imaging approaches as well as interventional aspects. A separate section is devoted to pediatric emergencies. We would like to express our thanks and appreciation to all contributers for their excellent written material. This comprehensive work would not have been accomplished without their enthusiasm. We hope this book will be a "Go-To" reference to general radiologists who have to deal with traumatic and nontraumatic emergencies. Similarly, it should serve as reference for emergency medicine physicians. Finally, radiology residents should find this book useful when covering the emergency department.

show abstract

Portal vein erosion and acute abdominal hemorrhage as a complication of acute pancreatitis

Cited by 13 publications

References 8 publications

Vascular complications of pancreatitis

Vascular complications of pancreatitis

Rotura de vena porta por pseudoquiste pancreático y hemorragia abdominal

Emergency Radiology

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