Volume 1, Number 2 (2016)
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Home > Journals > SCIREA Journal of Clinical Medicine > Archive > Paper Information

Pseudoaneurysm complicating pancreatitis: what is the best treatment? Case presentation and review of the literature.

Volume 1, Issue 2, December 2016    |    PP. 207-219    |PDF (562 K)|    Pub. Date: December 24, 2016
127 Downloads     1504 Views  

Author(s)
Fabio Corvino M.D., Department of Advanced Medical Biosciences, University Federico II of Naples (UNINA), Biostructures and Bioimmages Institution (IBB), National Research Council (CNR), via Pansini 5 I-80131 Naples, Italy.
Antonio Corvino M.D., University of Naples "Parthenope", Via Medina 40, 80133, Naples, Italy.
Luca Centore M.D., Radiology Department, G. Rummo Hospital, via dell'Angelo 1, 82100 Benevento, Italy.
Emilio Soreca M.D., Radiology Department, G. Rummo Hospital, via dell'Angelo 1, 82100 Benevento, Italy.
Alfonso Bencivenga M.D, Radiology Department, G. Rummo Hospital, via dell'Angelo 1, 82100 Benevento, Italy.

Abstract
Pseudoaneurysms secondary to pancreatitis, acute or chronic, are a rare complication (reported incidence in a range from 1.3% to 10%), potentially lethal. An early detection and intervention, either surgical or by minimally invasive interventional procedure, is vital for the patient. Multidetector Computed Tomography is the gold standard for the diagnosis. Endovascular therapy with coil embolization is the first-line option for treating pseudoaneurysms subsequent to pancreatitis acute or chronic.We discuss transcatheter coil embolization treatment and subsequent resolution of a giant pseudoaneurysm resulting from an abnormal pancreatic branch of hepatic artery, with an aberrant origin directly from aorta, caused by an alcoholic chronic pancreatitis in a 35-years-old man with gastrointestinal bleeding and severe anemia.

Keywords
Gastrointestinal Bleeding; Visceral Pseudoaneurysms; Chronic pancreatitis; Coil Embolization; Vascular Complications; Hepatic Artery.

Cite this paper
Fabio Corvino M.D., Antonio Corvino M.D., Luca Centore M.D., Emilio Soreca M.D., Alfonso Bencivenga M.D, Pseudoaneurysm complicating pancreatitis: what is the best treatment? Case presentation and review of the literature., SCIREA Journal of Clinical Medicine. Vol. 1 , No. 2 , 2016 , pp. 207 - 219 .

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