Endovascular Embolization of Pseudoaneurysms Complicating Pancreatitis Using Microcoils: Case Series

Kishor Taori, Jawahar Rathod, Amit Disawal, Rajesh Mundhada, Atul Rewatkar, Vishal Bakare, Prasad Wavare, Rakhi P. Puria

Department of Radio-Diagnosis, Government Medical College and Hospital, Nagpur, India.
Orange City Hospital, Nagpur, India.

DOI: 10.4236/ojrad.2013.31005                

Abstract

Purpose: To determine whether endovascular embolization of pseudoaneurysms complicating pancreatitis with microcoils was associated with better therapeutic outcome. Materials and Method: The prospective clinical study was carried out in the Department of Interventional Radiology for a period of 2 years extending from May 2010 upto August 2012 on 16 male patients in the age group of about 30 - 55 years, with each one of them having vascular complications as a sequel to pancreatitis, after obtaining well informed written consent from each one of them. Results: The outcome of the procedure was judged by the following parameters—a) Restoration of the blood pressure of the patient; b) Cessation of the hemetemesis and malena; c) Reduction in abdominal pain and discomfort and d) Overall improvement in the general condition of the patient. Each of the patients had been on follow up for at least 6 months, except 2 of them, with no new complaints in any of them. The procedure related mortality was none. Conclusion: Vascular complications of pancreatitis need immediate and accurate diagnosis and prompt treatment. Micro coil embolisation, is a minimally invasive technique which helps to exclude the pseudoaneurysm from the circulation and thus reduces the scope for massive life threatening internal hemorrhage, and is a better alternative to surgery.

Keywords

Pancreatitis; Ruptured; Pseudoaneurysms; Visceral Arteries; Microcoils

Conflicts of Interest

The authors declare no conflicts of interest.

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