Visceral and Peripheral Arterial Pseudoaneurysms

Sueyoshi, Eijun; Sakamoto, Ichiro; Nakashima, Kazuaki; Minami, Kazunori; Hayashi, Kuniaki

doi:10.2214/ajr.185.3.01850741

Cited by 106 publications

(99 citation statements)

References 12 publications

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“…10,11 Contrast-enhanced CT angiography can reveal the pseudoaneurysm, thus differentiating it from other diagnoses, as well as detect the location of the pseudoaneurysm. 12 Selective angiography of the internal iliac artery is the best choice for definitive diagnosis and provides an opportunity for endovascular treatment.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Superior Gluteal Artery Pseudoaneurysm with Hemorrhagic Shock: A Case Report

Corbacioglu¹

2015

Tr J Emerg Med

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a b s t r a c tPseudoaneurysm of the superior gluteal artery (SGA) is very rare and the most common causes are blunt or penetrating pelvic traumas. Although pseudoaneurysm can be asymptomatic at the time of initial trauma, it can be symptomatic weeks, months, even years after initial trauma. We present a case of a ruptured superior gluteal artery pseudoaneurysm with hemorrhagic shock twenty days after a bomb injury in the Syria civil war. In addition, we review the anatomy of the SGA, clinical presentation and pitfalls of pseudoaneurysm, and imaging and treatment options.

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Section: Discussionmentioning

confidence: 99%

Ruptured Superior Gluteal Artery Pseudoaneurysm with Hemorrhagic Shock: A Case Report

Corbacioglu¹

2015

Tr J Emerg Med

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“…Derin ven trombozuna yol açabilir [9] . Psödoanevrizma tanısında RDUS ve BTA ilk inceleme yöntemi olarak kullanılabilir [10] . US incelemede arter ile ilişkili kistik yapı, Doppler görüntülemede renk modunda girdap akımı yansıtan 'ying-yang bulgusu' izlenir.…”

Section: Olguunclassified

“…BTA incelemede psödoanevrizma genellikle düzgün ve iyi sınırlıdır. Genellikle sakküler şekildedir [10] . Kontrast madde damar dışına çıkarak psödoanevrizma kesesini doldurur.…”

Section: Olguunclassified

CT angiography findings in peroneal artery pseudoaneurysm: case report

Bülbül¹,

Demirpolat²,

Gürbüz³

et al. 2014

BSBD

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bsbd@balikesir.edu.tr www.bau-sbdergisi.com ÖZET Peroneal arter psödoanevrizmaları, diğer periferik arter psödoanevrizmalarından daha nadirdir. Genellikle travma sonrasında ya da kateter trombektomi komplikasyonu olarak görülür. Bacakta şişlik, pulsatil kitle, kanama, ağrı gibi bulgularla ortaya çıkar. Tanıda konvansiyonel anjiografi esas yöntem olmakla birlikte renkli doppler ultrasonografi (RDUS), bilgisayarlı tomografik anjiografi (BTA) ve magnetik rezonans anjiografi günümüzde kullanılan girişimsel olmayan metodlardır. RDUS incelemede psödoanevrizma boynunda ileri-geri akımın (to and fro akım) ve anevrizma kesesi içinde girdap akım (ying-yang bulgusu) varlığı patognomoniktir. BTA incelemede kontrast madde ekstravazasyonu, peroneal arter ile psödoanevrizma kesesinin ilişkisi gösterilebilir. Eşlik eden yumuşak doku ve kemik lezyonları gösterilebilir. Peroneal arterin proksimal ve distal segmentlerinin psödoanevrizma düzeyinde devamlılığı araştırılabilir. BTA seçilecek tedavi yönteminin belirlenmesinde yol göstericidir.Anahtar Kelimeler: anjiografi, bilgisayarlı tomografi, peroneal arter, psödoanevrizma SUMMARY Peroneal artery pseudoaneurysms are seldom than the other peripheric pseudoaneurysms. They are usually seen after a trauma or as a complication of catheter tromboembolectomy. They may be evident with findings like swollen leg, pulstatil mass, bleeding and pain. Although conventional angiography is the main procedure for diagnosis, color doppler ultrasonography (CDUS), computed tomographic angiography (CTA) and magnetic resonans angiography are the non-invasive procedures being used nowadays. At CDUS, presence of 'to and fro' flow patern at neck of pseudoaneurysm and whirpool flow patern ( ying-yang sign) in pseudoaneurysm are patognomonic. At CTA contrast-material extravasation, relationship between peroneal artery and pseudoaneursym can be revealed. Lesions of surrounding bone and soft tissues can be demonstrated. It may be shown that if peroneal artery proximal and distal segments are interrupted at the pseudoaneurysm level. CTA is the guide to choose the treatment method/procedure in peritoneal artery pseudoaneurysm.

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“…Perivascular tissues, inflammatory fibrosis and thrombus often constitute the wall of a pseudoaneurysm [4]. Triggers for pseudoaneurysm formation include trauma, infection, connective tissue disease and ongoing inflammation.…”

mentioning

confidence: 99%

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

Razik

May

Saibil

2016

JGLD

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Pancreatic pseudocysts and foci of walled-off necrosis (WON) are well-known complications of acute pancreatitis. We present a case of severe gallstone pancreatitis complicated by WON, fistulization to the bowel and gastrointestinal bleeding. Bleeding was localized to a pseudoaneurysm of the gastroduodenal artery within the WON using imaging and endoscopy. Angiography and image-guided therapy were then used to control bleeding with coil-embolization. To our knowledge, this is the first report of non-operative management of a patient with severe pancreatitis complicated by WON and a bleeding pseudoaneurysm with multiple communications to the hollow viscera. Therapeutic options are discussed and a thorough literature review is included. Abbreviations: EGD: esophagogastroduodenoscopy; ERCP: endoscopic retrograde cholangiopancreatography; GDA: gastroduodenal artery; GI: gastrointestinal; IEP: interstitial edematous pancreatitis; IPDA: inferior pancreaticoduodenal artery; WON: walled-off necrosis.

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Visceral and Peripheral Arterial Pseudoaneurysms

Abstract: CT, MRI, sonography, and angiography may all be valuable in the imaging workup of pseudoaneurysms. Knowledge of the various appearances of pseudoaneurysms and of the proper management is essential to prevent a catastrophic outcome in cases of pseudoaneurysm.

Cited by 106 publications

References 12 publications

Ruptured Superior Gluteal Artery Pseudoaneurysm with Hemorrhagic Shock: A Case Report

Ruptured Superior Gluteal Artery Pseudoaneurysm with Hemorrhagic Shock: A Case Report

CT angiography findings in peroneal artery pseudoaneurysm: case report

Non-operative Management of Necrotic Pancreatic Collection and Bleeding Pseudoaneurysm Communicating with Bowel Lumen at Multiple Sites: a Case Report and Review of the Literature

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