Vascular complications of pancreatitis: imaging and intervention.
The objective of this study was to highlight technical challenges and potential pitfalls of diagnostic imaging, intervention, and postintervention follow-up of vascular complications of pancreatitis. Diagnostic and interventional radiology imaging from patients with pancreatitis from 2002 to 2006 was reviewed. We conclude that biphasic CT is the diagnostic modality of choice. Catheter angiography may (still) be required to diagnose small pseudoaneurysms. Endovascular coiling is the treatment of choice for pseudoaneurysms. Close clinical follow-up is required, as patients may rebleed/develop aneurysms elsewhere.
McMaster University Medical Center, 1200 Main Street West, Hamilton, Ontario, L8N 3Z5, Canada. johnkirby@ireland.com
John M
JM
Kirby
Parag
P
Vora
Mehran
M
Midia
John
J
Rawlinson
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015901:Angiography, Digital Subtraction; D017130:Angioplasty / Q000379:methods; D002648:Child; D003952:Diagnostic Imaging / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011379:Prognosis; D015641:Radiography, Interventional; D018570:Risk Assessment; D012720:Severity of Illness Index; D016019:Survival Analysis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014652:Vascular Diseases / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy*