Endoscopy 2009; 41(8): 721-724
DOI: 10.1055/s-0029-1214874
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic ultrasound treatment of vascular complications in acute pancreatitis

J.  M.  Gonzalez1 , S.  Ezzedine1 , V.  Vitton1 , J.  C.  Grimaud1 , M.  Barthet1
  • 1Department of Gastroenterology and Hepatology, Nord Hospital, Marseille, France
Further Information

Publication History

submitted10 March 2009

accepted after revision20 April 2009

Publication Date:
10 August 2009 (online)

Bleeding due to vascular complications of acute pancreatitis is a rare dangerous condition that is diagnostically and therapeutically challenging, and represents the most life-threatening complication of acute pancreatitis. The overall goal of this report is to present a new potential indication for endoscopic ultrasound (EUS)-guided fine-needle injection in the management of vascular complications of pancreatitis, based on continuous real-time visualization of vessels, color flow, and Doppler. EUS has enabled successful sclerotherapy and embolization of the perforating vein of esophagogastric varices and pancreatic pseudoaneurysm, respectively, in a 55-year-old patient with a history of recurrent/chronic alcoholic pancreatitis. This effective procedure represents a minimally invasive therapeutic option and provides an alternative to arterial embolization and surgery in the assessment and management of this category of complications.

References

M. Barthet, MD 

Department of Gastroenterology
Hôpital Nord

Chemin des Bourrely
13915 Marseille
Cedex 20
France

Fax: +33-4-91961311

Email: marc.barthet@ap-hm.fr