Coil compaction after embolization of the superior mesenteric artery pseudoaneurysm.
A 58-year-old man with an abscess of the psoas muscle was returned to our hospital with hematemesis. Two years earlier, he had undergone coil embolization for a superior mesenteric artery (SMA) pseudoaneurysm secondary to pancreatitis. Based on the physical examination, serum amylase level, and abdominal radiographs, a diagnosis of acute exacerbation of pancreatitis and coil compaction of the SMA pseudoaneurysm was made. The patient underwent re-embolization for the coil compaction using interlocking detachable coils. His condition improved gradually, and he was discharged 3 weeks later. To our knowledge, this is the first report of coil compaction of SMA pseudoaneurysm.
Hama
Yukihiro
Y
Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, 3590042 Saitama, Japan. yjhama@me.ndmc.ac.jp
Iwasaki
Yoshie
Y
Kaji
Tatsumi
T
Hatsuse
Kazuo
K
Kusano
Shoichi
S
D000208:Acute Disease; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D016670:Gabexate / Q000627:therapeutic use; D006396:Hematemesis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D011480:Protease Inhibitors / Q000627:therapeutic use; D016659:Psoas Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D011856:Radiographic Image Enhancement; D012008:Recurrence
D011480:Protease Inhibitors; D016670:Gabexate