• Medicina · Sep 2022

    Case Reports

    Percutaneous N-Butyl-Cyanoacrylate Embolization for Treating Ruptured Pancreaticoduodenal Aneurysm: A Case Report.

    • Joo Yeon Jang, Jin Hyeok Kim, Tae Un Kim, Hwaseong Ryu, Tae Beom Lee, Je Ho Ryu, and Ung Bae Jeon.
    • Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea.
    • Medicina (Kaunas). 2022 Sep 21; 58 (10).

    AbstractBackground and Objectives: Pancreaticoduodenal artery aneurysms are rare visceral artery aneurysms. Interventional treatments, including transcatheter embolization, have an acceptable success rate. We report a case of ruptured pancreaticoduodenal aneurysm that was successfully treated with percutaneous N-Butyl-cyanoacrylate (NBCA) embolization after failed transcatheter embolization. Materials and Methods: A 53-year-old man presented to the emergency department with abdominal pain. Computed tomography (CT) revealed a ruptured aneurysm in the inferior pancreaticoduodenal artery (IPDA) with retrohemoperitoneum. The patient underwent percutaneous NBCA embolization after transcatheter embolization failure. Results: On CT, the pancreaticoduodenal aneurysm was completely embolized. No additional bleeding events occurred. Conclusions: Percutaneous NBCA embolization is safe and effective for treating patients with ruptured pancreaticoduodenal aneurysms after failed transcatheter embolization.

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