Urgent endovascular ligature of a ruptured splenic artery pseudoaneurysm in a patient with acute pancreatitis: a case report

Journal of Medical Case Reports

Gianpaolo Carrafiello²  Domenico Laganಠ Ejona Duka²  Alessandro Bacuzzi¹  Federico Fontana²  Raffaella Capasso³  Mario Petrillo³  Anna Maria Ierardi² 

[1] Anaesthesia and Palliative Care, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, 21100 Varese, VA, Italy;Department of Radiology, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, 21100 Varese, VA, Italy;Department of Radiology, Second University of Naples, P.za Miraglia, 2, 80138 Naples, NA, Italy

关键词: Pancreatic pseudoaneurysms;    Impaired renal function;    Endovascular ligature;    Contrast-enhanced ultrasonography;    Acute pancreatitis;   

Others  :  1180820
DOI  :  10.1186/1752-1947-9-6

 received in 2014-08-02, accepted in 2014-11-25,  发布年份 2015

【 摘 要 】

Introduction

We report on the successful endovascular treatment of a ruptured splenic artery pseudoaneurysm. Our patient had acute pancreatitis superimposed on chronic calcific pancreatitis and chronic renal impairment. Contrast-enhanced ultrasonography was used to assess post-embolization results.

Case presentation

Our patient was a 67-year-old white Caucasian man with recurrent pancreatitis. Computed tomography angiography showed a pancreatic pseudocyst with a ruptured pseudoaneurysm, which was successfully embolized using an endovascular percutaneous approach. At six months, persistent renal failure led to contrast-enhanced ultrasonography. This confirmed the absence of turbulent blood flow and extravasation of contrast medium in the pseudocyst.

Conclusion

Our experience with this case leads us to support the role of interventional radiology as a first-line treatment tool. Contrast-enhanced ultrasonography can be used to follow-up embolization procedures in patients with impaired renal function.

【 授权许可】

   
2015 Ierardi et al.; licensee BioMed Central.

【 图 表 】

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