Vascular Complications of Pancreatitis: Role of Interventional Therapy

Barge, J; Lopera, Jorge E.

doi:10.3348/kjr.2012.13.s1.s45

Cited by 62 publications

(85 citation statements)

References 25 publications

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“…The incidence of vascular complications in the chronic pancreatitis is higher 7 -10% compared to acute pancreatitis 1-6%. 9 The cause for vascular complications in pancreatitis has been proposed to be proteolytic enzymatic destruction on the vessel wall by Trypsin and Elastase, usually as a consequence of Peripancreatic dissemination of these enzymes after an attack of pancreatitis. Haemorrhage can occur into the pancreatic parenchyma, peritoneal cavity or into the gastrointestinal tract.…”

Section: Table 3 Results-endovascular Angioembolisationmentioning

confidence: 99%

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Swamigowda¹,

Casaba²,

Kumar³

et al. 2018

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BACKGROUND Peripancreatic haemorrhage though rare, has lethal outcomes. This rare scenario is a consequence of pancreatic diseases per se as well as surgical complication of pancreatobiliary surgery. The aim of this study is to present the retrospective analysis of our experience on the common aetiologies, clinical presentations and various approaches for the management of Peripancreatic haemorrhage.

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Section: Table 3 Results-endovascular Angioembolisationmentioning

confidence: 99%

Evaluation of Clinical Success and Outcomes in Management of Peripancreatic Haemorrhage

Swamigowda¹,

Casaba²,

Kumar³

et al. 2018

jebmh

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“…1 For stable patients, abdominal ultrasonography with Doppler is generally the first diagnostic examination used. It can suggest vascular involvement and identify venous thrombosis, necrotic areas, and abscesses in the abdominal cavity, but findings are nonspecific.…”

Section: Discussionmentioning

confidence: 99%

“…Vascular complications related to pancreatitis are uncommon, with a frequency of occurrence that varies from 1.2 to 14%. 1 Arterial injuries related to pancreatitis most frequently involve the splenic artery, accounting for 40% of cases, followed by, in descending order of frequency, the gastroduodenal (30%), pancreaticoduodenal (20%), gastric (5%), and hepatic arteries (2%). 2 Abdominal aortic pseudoaneurysm associated with pancreatitis is an extremely rare condition and there are only three cases reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…In the United States, it is estimated that there are 56,000 hospital admissions for chronic pancreatitis every year. 1 In Brazil, according to the Brazilian National Health Service's IT Department (DATASUS), the incidence of acute pancreatitis is 15.9/100,000 inhabitants per year. Vascular complications related to pancreatitis are uncommon, with a frequency of occurrence that varies from 1.2 to 14%.…”

Section: Introductionmentioning

confidence: 99%

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Pseudoaneurisma de aorta abdominal como complicação de pancreatite crônica: relato de caso

Barbosa¹,

Nóbrega²,

Rodrigues³

et al. 2017

J. vasc. bras.

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Chronic pancreatitis can be complicated by several vascular disorders, such as bleeding pseudocysts, thrombosis of the venous portal system, varicosities, and pseudoaneurysms. Pseudoaneurysm of the abdominal aorta secondary to chronic pancreatitis is a rare complication. It is a challenging clinical situation, demanding a high degree of clinical suspicion, and requires complex therapeutic procedures. The pathophysiology of this condition involves interstitial liberation and activation of enzymes from the exocrine pancreatic glands and subsequent digestion of the surrounding tissues. In the present case report, we describe a 52-year-old patient complaining of diffuse abdominal pains. Clinical investigation revealed chronic alcoholism and imaging examinations showed a pseudoaneurysm of the infrarenal aorta. We decided to perform conventional surgical treatment after considering the patient' s age and clinical status and the endoprostheses available at our hospital with diameters compatible with the patient' s aorta.Keywords: pseudoaneurysm; abdominal aorta; pancreatitis. ResumoA pancreatite crônica é uma enfermidade associada a diversas complicações vasculares, como pseudocisto hemorrágico, trombose do sistema venoso portal e formações varicosas e pseudoaneurismáticas. O pseudoaneurisma de aorta abdominal secundário à pancreatite crônica é uma complicação rara, de difícil suspeição clínica, que requer tratamento complexo. A fisiopatologia dessa condição envolve a corrosão enzimática tecidual após a liberação e ativação de enzimas exócrinas proteolíticas das células acinares do pâncreas. O presente estudo relata o caso de um paciente de 52 anos, etilista crônico, internado com dor abdominal difusa, cuja propedêutica revelou se tratar de um pseudoaneurisma em aorta infrarrenal. Optou-se pelo tratamento cirúrgico convencional, levando-se em consideração a idade, as condições clínicas do paciente e a disponibilidade de endopróteses compatíveis com o diâmetro da aorta.Palavras-chave: pseudoaneurisma; aorta abdominal; pancreatite.

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“…Splanchnic venous system thrombosis (SVT) is one of the common vascular complications of AP [5]. There is wide variation in the incidence of SVT in AP between different studies, with reported frequencies ranging from as low as 1.8% to as high as 36.5% [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%