Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 6. P. 88–90
DOI: 10.12737/1024-6177-2019-64-6-88-90
M.V. Popov1, S.E. Voskanyan1, A.P. Dunaev2, A.N. Bashkov1, M.S. Aronov1, V.S. Rudakov1, A.S. Kasum’yan1, V.N. Mal’tsev1, O.V. Kuznetsova1
Endovascular Embolization of Gastroduodenal Artery in its Pancreatogenous Arrosia: a Clinical Case
1. A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia. E-mail:
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2. Moscow City Oncologic Hospital No. 62, Moscow, Russia
M.V. Popov – Doctor;
S.E. Voskanyan – Deputy Chief Physician, Dr. Sci. Med.;
A.P. Dunaev – Doctor, PhD Med.;
A.N. Bashkov – Head of Dep.;
M.S. Aronov – Head of Dep., PhD Med.;
V.S. Rudakov – Doctor, PhD Med.;
A.S. Kasum’yan – Junior Researcher;
V.N. Mal’tsev – Leading Researcher, Prof., Dr. Sci. Med.;
O.V. Kuznetsova – Vice-Rector, PhD Biol.
Abstract
Arrosion of the peripancreatic vascular structures is a rare, but life-threatening and it requires surgical treatment. One of the most common causes of arrosion is the presence of pancreatic pseudocyst. Imaging methods play a crucial role not only in terms of identifying the described pathology, but also in planning the tactics of surgical treatment. We present a clinical case of a patient, a 44-year-old male, with pseudocyst in the pancreatic head in the presence of chronic pancreatitis, complicated by bleeding into its cavity as a result of an arrosion of the gastroduodenal artery, which required endovascular embolization and drainage of the pseudocyst. This clinical case shows the possibility of endovascular embolization of the injured gastroduodenal artery with microspirals.
Key words: complication of pancreatitis blooding, pancreatic pseudocyst, pseudoaneurysm, gastroduodenal artery, embolization
REFERENCES
1. Yadav D, Lowenfels A. The Epidemiology of Pancreatitis and Pancreatic Cancer. Gastroenterology. 2013;144(6):1252-61. doi:10.1053/j.gastro.2013.01.068
2. Kim J, Shin J, Yoon H, et al. Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution. Diagnostic and Interventional Radiology. 2015;21(2):140-7. DOI: 10.5152/dir.2014.14085
3. Barge J, Lopera J. Vascular Complications of Pancreatitis: Role of Interventional Therapy. Korean J Radiol. 2012;13(Suppl 1):S45. DOI: 10.3348/kjr.2012.13.s1.s45
4. Olejarz A, Nowikiewicz T, Piotrowski L. Haemorrhagic Shock as a Result of Bleeding to Pancreatic Pseudocysts – The Problem of Emergency Service. Polish Journal of Surgery. 2009;81(4). DOI: 10.2478/v10035-009-0029-6
5. Ferreira J, Tavares A, Costa E, Maciel J. Hemosuccus pancreaticus: a rare complication of chronic pancreatitis. BMJ Case Rep. 2015:bcr2015209872. DOI: 10.1136/bcr-2015-209872
6. Han B, Song Z, Sun B. Hemosuccus pancreaticus: a rare cause of gastroirtestiral bleeding. Hepatobiliary & Pancreatic Diseases International. 2012;11(5):479-88. DOI: 10.1016/s1499-3872(12)60211-2
7. Karakayali F. Surgical and interventional management of complications caused by acute pancreatitis. World J Gastroenterol. 2014;20(37):13412. DOI: 10.3748/wjg.v20.i37.13412
8. Khokha V.M. Collections in acute pancreatitis. Novosti Khirurgii. 2013;21(2):111-8. (In Russian) DOI: 10.18484/2305-0047.2013.2.111
9. Hsu J, Yeh C, Hung C, et al. Management and outcome of bleeding pseudoaneurysm associated with chronic pancreatitis. BMC Gastroenterol. 2006;6(1). DOI: 10.1186/1471-230x-6-3
10. Kapoor S, Rao P, Pal S, et al. Hemosuccus pancreaticus: an uncommon cause of gastrointestinal hemorrhage. A case report. JOP 2004;5:373-6.
For citation: Popov MV, Voskanyan SE, Dunaev AP, Bashkov AN, Aronov MS, Rudakov VS, Kasum’yan AS, Mal’tsev VN, Kuznetsova OV. Endovascular Embolization of Gastroduodenal Artery in its Pancreatogenous Arrosia: a Clinical Case. Medical Radiology and Radiation Safety. 2019;64(6):88–90. (in Russian).
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