1. Urgent endovascular ligature of a ruptured splenic artery pseudoaneurysm in a patient with acute pancreatitis: a case report.
- Author
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Ierardi, Anna Maria, Petrillo, Mario, Capasso, Raffaella, Fontana, Federico, Bacuzzi, Alessandro, Duka, Ejona, Laganà, Domenico, and Carrafiello, Gianpaolo
- Subjects
LIGATURE (Surgery) ,SPLENIC artery ,FALSE aneurysms ,PANCREATITIS ,ULTRASONIC imaging ,COMPUTED tomography ,PATIENTS ,DISEASES - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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