Embolization coils migrating and being passed per rectum after embolization of a splenic artery pseudoaneurysm, "the migrating coil": a case report.
Acute or chronic blood loss from pseudoaneurysms of the splanchnic artery in chronic pancreatitis poses diagnostic and management challenges. Arteriographic examination offers both diagnostic and therapeutic options, with success rates of 76%-100% for both modalities. In cases of failure of embolization, repeat embolization is also an option. Surgical intervention is advocated for rebleeding and failure of embolization. Evidence-based guidelines regarding the optimal treatment modality for this condition are lacking. There has been a reported case of dislodgement of coil into the stomach through a gastropseudocystic fistula. We report the case of a migrating steel-wire coil through the gastrointestinal tract and splenic artery pseudoaneurysm. We highlight the potential complications of pseudoaneurysm and other available therapeutic management options.
Shah
Numan A
NA
Doncaster and Bassetlaw NHS Trust, Doncaster Royal Infirmary, Thorne Road, Doncaster, South Yorkshire DN2 5LT, UK.
Akingboye
Akinfemi
A
Haldipur
Nandon
N
Mackinlay
James Y
JY
Jacob
George
G
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D012007:Rectum; D013157:Splenic Artery; D014057:Tomography, X-Ray Computed