[Analysis of contrast medium induced pancreatitis].
OBJECTIVE
To report the contrast medium induced pancreatitis after angiography or endovascular therapy, analyze the possible cause of this complication, the treatment specialty and the prognosis.


METHODS
The patients suffered from contrast medium induced pancreatitis after angiography or endovascular therapy during last 10 years were retrospectively analyzed. The patients' comorbidity, the onset time of the pancreatitis, the specialty of the pancreatitis, the treatment method and the prognosis were documented. The relative literature was retrieved and reviewed. The clinical data was compared with the relative literature and analyzed.


RESULTS
Three cases of contrast medium induced pancreatitis were documented. One case was a young man, received angiography because of renal artery stenosis. He was suffered from moderate abdominal pain 2 hours after the procedure. Pancreatitis of edema type was confirmed by CT scan. He recovered thoroughly after the medical treatment. One case was an old man, underwent angiography for renal artery stenosis and abdominal aortic aneurysm. He was suffered from acute abdominal pain during the procedure. The CT scan revealed as edema pancreatitis. He died from cardiac infarction during the treatment. The last case was an old female, suffered from sustained abdominal distension after endovascular treatment of endoleak post AAA EVAR. Edema pancreatitis was confirmed by CT scan. The symptom was not alleviated well after the treatment. Finally she was died from MOSF.


CONCLUSIONS
The incidence of contrast medium induced pancreatitis is relatively low. It's not easy to detect in early stage. Early diagnosis and treatment is the key to improve the therapeutic effect. The prognosis of patient with multiple comorbidity is poor.
Wang
Li-xin
LX
Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Fu
Wei-guo
WG
Guo
Da-qiao
DQ
Xu
Xin
X
Chen
Bin
B
Jiang
Jun-hao
JH
Yang
Ju
J
Shi
Zhen-yu
ZY
Zhu
Ting
T
Shi
Yun
Y
Dong
Zhi-hui
ZH
Tang
Xiao
X
Li
Wei-miao
WM
Wang
Yu-qi
YQ
D000328:Adult; D000368:Aged; D000792:Angiography / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000139:chemically induced*; D012189:Retrospective Studies
D003287:Contrast Media