Pancreatoduodenal Artery Aneurism rupture post colonoscopy - Case report.

Autor: Pivetta LGA; Hernia Center, Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil. Electronic address: luca.pivetta@gmail.com., de Carvalho JPV; Hernia Center, Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil., Telles GJP; Vascular Surgery Service, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil., de Freitas Amaral PH; Hernia Center, Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil., Roll S; Hernia Center, Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2021 Mar; Vol. 80, pp. 105682. Date of Electronic Publication: 2021 Feb 22.
DOI: 10.1016/j.ijscr.2021.105682
Abstrakt: Introduction: Complications related to colonoscopy is considered low and in most cases involves intestinal perforation. Vascular complications involving aneurysm rupture are rare in the literature and may occur after colonoscopy.
Presentation of the Case: We report a case of a 58-year-old male patient that ruptured pancreatoduodenal artery aneurysm after colonoscopy, successfully submitted to endovascular treatment.
Discussion: Colonoscopy is frequently used as a diagnostic procedure. The risk of complication inherent to the procedure is considered low, and intestinal perforation is one of the most frequent. Other complications may present similar clinical symptoms, and it is necessary to complement the diagnostic investigation to offer the most appropriate treatment for the patient. Among the complications, there is one report of aneurysm rupture after performing colonoscopies and no case involving aneurysm rupture of pancreatoduodenal artery has been reported to date.
Conclusion: A patient with ruptured pancreatoduodenal artery aneurysm is a rare entity that can be adequately treated with endovascular intervention. This is the first report of rupture related to colonoscopy.
(Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE