Primary Management of Large Pancreatic Pseudoaneurysm by Ultrasound-Guided Percutaneous Thrombin Injection after Failure of Transarterial Pseudoaneurysm Embolization

Pawan Kumar Garg; Pushpinder Singh Khera; Rengarajan Rajagopal; Neeraj Mehta; Swarnava Tarafdar

doi:10.1055/s-0037-1603197

Journal of Clinical Interventional Radiology ISVIR, Table of Contents

CC-BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(02): 130-133
DOI: 10.1055/s-0037-1603197

Case Report

Indian Society of Vascular and Interventional Radiology

Primary Management of Large Pancreatic Pseudoaneurysm by Ultrasound-Guided Percutaneous Thrombin Injection after Failure of Transarterial Pseudoaneurysm Embolization

Authors

Pawan Kumar Garg

¹Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Pushpinder Singh Khera

¹Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Rengarajan Rajagopal

¹Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Neeraj Mehta

¹Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Swarnava Tarafdar

¹Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Abstract

Pancreatic pseudoaneurysm is a rare but life-threatening complication secondary to pancreatitis, surgery, trauma, or infection. Early treatment is advocated due to high risk of rupture and bleeding. Surgical treatment has traditionally been the first line but is associated with high morbidity. Transarterial embolization or exclusion is the treatment of choice; however, in cases with failure of endovascular treatment, percutaneous thrombin injection can be used successfully. We present a case of a large pancreatic pseudoaneurysm managed successfully with percutaneous ultrasound-guided thrombin injection after failure of transarterial management.

Keywords

pancreatic pseudoaneurysm - percutaneous thrombin injection - pseudoaneurysm embolization

Full Text

References

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