title: Acute necrotising pancreatitis: a late and fatal complication of pancreaticoduodenal arterial embolisation.
abstract: A 70-year-old man was diagnosed with a massive bleeding duodenal ulcer which was refractory to emergency endoscopic management. Angiogram of the coeliac and superior mesenteric arteries revealed bleeding from the superior and inferior pancreaticoduodenal arteries. Transcatheter arterial embolisation of superior and inferior pancreaticoduodenal arteries along with the gastroduodenal artery was performed. Two weeks later he developed severe necrotising pancreatitis of the pancreatic head probably due to ischaemia, which was managed conservatively. Three months later the patient experienced another episode of pancreatitis which progressed into multiorgan dysfunction and the patient passed away.
authors.affiliation: Creighton University Medical Center, Omaha, Nebraska, USA Department of Internal Medicine, Veterans' Affairs Medical Center, Omaha, Nebraska, USA.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Matta
authors.affiliation: Department of Hematology-Oncology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
authors.forename: Pavan Kumar
authors.initials: PK
authors.lastname: Tandra
authors.affiliation: Department of Internal Medicine, Veterans' Affairs Medical Center, Omaha, Nebraska, USA Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska, USA.
authors.forename: Erica
authors.initials: E
authors.lastname: Cichowski
authors.affiliation: Division of Gastroenterology/Hepatology, Internal Medicine, Alegent-Creighton University Medical Center, Omaha, Nebraska, USA.
authors.forename: Savio Charan
authors.initials: SC
authors.lastname: Reddymasu
mesh_terms: D000368:Aged; D004378:Duodenal Diseases / Q000628:therapy; D004386:Duodenum / Q000098:blood supply; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D010179:Pancreas / Q000098:blood supply; D010182:Pancreatic Diseases / Q000628:therapy; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology*