Endovascular treatment of pseudoaneurysms secondary to chronic pancreatitis: reports of two cases.
| Autor: | Santos FS; Pontifícia Universidade Católica do Paraná - PUCPR, Curso de Medicina, Londrina, PR, Brasil., Sousa KMDS; Pontifícia Universidade Católica do Paraná - PUCPR, Curso de Medicina, Londrina, PR, Brasil., de Castro TAC; Santa Casa de Misericórdia de Londrina, Cirurgia Vascular, Londrina, PR, Brasil., Coelho F Neto; Universidade de Brasília - UnB, Programa de Pós-graduação em Ciências Médicas, Brasília, DF, Brasil.; Pontifícia Universidade Católica do Paraná - PUCPR, Londrina, PR, Brasil., de Oliveira RG; Pontifícia Universidade Católica do Paraná - PUCPR, Londrina, PR, Brasil., de Araujo WJB; Universidade Federal do Paraná - UFPR, Hospital de Clínicas, Serviço de Angiorradiologia e Cirurgia Endovascular, Curitiba, PR, Brasil., Dos Santos LCP; Universidade Federal do Paraná - UFPR, Hospital de Clínicas, Gastroenterologia, Curitiba, PR, Brasil., de Souza RCA; Universidade Federal do Paraná - UFPR, Hospital de Clínicas, Serviço de Endoscopia Digestiva, Departamento de Medicina Interna, Curitiba, PR, Brasil. |
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| Jazyk: | angličtina |
| Zdroj: | Jornal vascular brasileiro [J Vasc Bras] 2018 Jan-Mar; Vol. 17 (1), pp. 71-75. |
| DOI: | 10.1590/1677-5449.012517 |
| Abstrakt: | 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. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. |
| Databáze: | MEDLINE |
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