• Medicina · Apr 2024

    Case Reports

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

    • Dejan Velickovic, Katarina Stosic, Aleksandra Djuric Stefanovic, KovacJelena DjokicJD0000-0003-4826-0218Center for Radiology and Magnetic Resonance Imaging, University Clinical Centre of Serbia, Pasterova No. 2, 11000 Belgrade, Serbia.Department for Radiology, Faculty of Medicine, University of Belgrade, Dr Subotica No, Danijela Sekulic, Stefan Milosevic, Marko Miletic, Dusan Jovica Saponjski, Borivoje Lukic, Boris Tadic, Milica Mitrovic Jovanovic, and Vladimir Cvetic.
    • Department of Stomach and Esophageal Surgery, Clinic for Digestive Surgery, University Clinical Centre of Serbia, Koste Todorovica Street No. 6, 11000 Belgrade, Serbia.
    • Medicina (Kaunas). 2024 Apr 26; 60 (5).

    AbstractThe 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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