Endovascular treatment of pseudoaneurysms secondary to chronic pancreatitis: reports of two cases

Abstract Pseudoaneurysm secondary to chronic pancreatitis is a rare complication, but one with a high mortality rate. It is etiologically associated with chronic pancreatitis, and most diagnoses are made after rupture, which manifests with clinical signs of acute hemorrhage. Computed tomography pla...

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Bibliographic Details
Main Authors: Fabiana Seifert Santos, Karolaine Marcelina da Silva Sousa, Thiago Augusto Cadorin de Castro, Felipe Coelho Neto, Rodrigo Gomes de Oliveira, Walter Jr. Boim de Araujo, Lilian Cabral Pereira dos Santos, Raquel Canzi Almada de Souza
Format: Article
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
Series:Jornal Vascular Brasileiro
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000100071&lng=en&tlng=en
Description
Summary:Abstract Pseudoaneurysm secondary to chronic pancreatitis is a rare complication, but one with a high mortality rate. It is etiologically associated with chronic pancreatitis, and most diagnoses are made after rupture, which manifests with clinical signs of acute hemorrhage. Computed tomography plays an important role in diagnosis, but digital subtraction angiography remains the gold-standard method for diagnostic confirmation and for treatment planning. This article describes two cases of pseudoaneurysm in patients with chronic alcoholic pancreatitis; one involving the splenic artery and the other the gastroduodenal artery, complicated by thoracic and abdominal bleeding respectively. Both were successfully treated, using minimally invasive endovascular methods to implant coils and stent-grafts.
ISSN:1677-7301