Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin.
Pancreatic pseudoaneurysm is a relatively uncommon complication of chronic pancreatitis, with an associated high mortality if rupture or hemorrhage occurs. We present a case of pancreatic pseudoaneurysm complicating pancreatitis which was successfully treated by direct percutaneous injection of thrombin into the aneurysmal sac. Follow-up at 8 weeks did not demonstrate recurrence. This case indicates that percutaneous thrombin injection offers effective treatment of visceral arterial pseudoaneurysms.
Sparrow
Patrick
P
Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK. patsparrow@doctors.net.uk
Asquith
John
J
Chalmers
Nick
N
D000279:Administration, Cutaneous; D017541:Aneurysm, False / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D002908:Chronic Disease; D005260:Female; D024405:Gastroepiploic Artery / Q000000981:diagnostic imaging / Q000473:pathology; D006490:Hemostatics / Q000627:therapeutic use*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply* / Q000000981:diagnostic imaging*; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology; D011860:Radiography, Abdominal; D013917:Thrombin / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional
D006490:Hemostatics; D013917:Thrombin