The Importance of Early Detection and Minimally Invasive Treatment of Pseudoaneurysms Due to Chronic Pancreatitis: Case Report

被引：0
作者：
Velickovic, Dejan [1 ,2 ]
Stosic, Katarina [3 ]
Stefanovic, Aleksandra Djuric [3 ,4 ]
Kovac, Jelena Djokic [3 ,4 ]
Sekulic, Danijela [3 ]
Milosevic, Stefan [3 ]
Miletic, Marko [3 ]
Saponjski, Dusan Jovica [3 ,4 ]
Lukic, Borivoje [3 ,4 ]
Tadic, Boris [2 ,5 ]
Jovanovic, Milica Mitrovic [3 ,4 ]
Cvetic, Vladimir [3 ,4 ]
机构：
[1] Univ Clin Ctr Serbia, Dept Stomach & Esophageal Surg, Clin Digest Surg, Koste Todorov St 6, Belgrade 11000, Serbia
[2] Univ Belgrade, Fac Med, Dept Surg Anesthesiol, Dr Subot 8, Belgrade 11000, Serbia
[3] Univ Clin Ctr Serbia, Ctr Radiol & Magnet Resonance Imaging, Pasterova 2, Belgrade 11000, Serbia
[4] Univ Belgrade, Fac Med, Dept Radiol, Dr Subot 8, Belgrade 11000, Serbia
[5] Univ Clin Ctr Serbia, Dept HPB Surg, Clin Digest Surg, Koste Todorov St, 6, Belgrade 11000, Serbia
来源：
MEDICINA-LITHUANIA | 2024年 / 60卷 / 05期
关键词：
chronic pancreatitis; pseudoaneurysm; pancreatic pseudocyst; walled-off necrosis; VISCERAL ARTERY ANEURYSMS; MANAGEMENT; COMPLICATIONS; PSEUDOCYSTS;
D O I：
10.3390/medicina60050714
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The occurrence of the pseudoaneurysm of visceral arteries in the field of chronic pancreatitis is a very rare complication that represents a life-threatening condition. The higher frequency of this complication is in the necrotic form of pancreatic inflammation, especially in patients with formed peripancreatic necrotic collections. The degradation of the arterial wall leads to bleeding and transforms these necrotic collections into a pseudoaneurysm. Urgent endovascular angioembolization is the first choice in the therapeutic approach as a valid minimally invasive solution with very satisfactory immediate and long-term outcomes. This successfully avoids open surgery, which is associated with a high mortality rate in these patients, especially in acute-on-chronic pancreatitis.
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页数：7
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