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Titolo:
Migration of steel-wire coils into the stomach after transcatheter arterial embolization for a bleeding splenic artery pseudoaneurysm: Report of a case
Autore:
Takahashi, T; Shimada, K; Kobayashi, N; Kakita, A;
Indirizzi:
Kitasato Univ, Sch Med, Dept Surg, Sagamihara, Kanagawa 2288555, Japan Kitasato Univ Sagamihara Kanagawa Japan 2288555 , Kanagawa 2288555, Japan
Titolo Testata:
SURGERY TODAY
fascicolo: 5, volume: 31, anno: 2001,
pagine: 458 - 462
SICI:
0941-1291(2001)31:5<458:MOSCIT>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC-PANCREATITIS; GASTROINTESTINAL HEMORRHAGE; PSEUDOCYSTS; ANEURYSMS; MANAGEMENT; EXPERIENCE; SECONDARY; CYSTS;
Keywords:
transcatheter arterial embolization; splenic artery pseudoaneurysm; chronic pancreatitis; pseudocyst of the pancreas; gastropancreatic fistula;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Takahashi, T Kitasato Univ, Sch Med, Dept Surg, 1-15-1 Kitasato, Sagamihara, Kanagawa 2288555, Japan Kitasato Univ 1-15-1 Kitasato Sagamihara Kanagawa Japan 2288555
Citazione:
T. Takahashi et al., "Migration of steel-wire coils into the stomach after transcatheter arterial embolization for a bleeding splenic artery pseudoaneurysm: Report of a case", SURG TODAY, 31(5), 2001, pp. 458-462

Abstract

Transcatheter arterial embolization (TAE) represents the primary, and often definitive, mode of therapy for bleeding splanchnic artery pseudoaneurysms (PSA). Nevertheless. a number of complications associated with this procedure have been described. We report herein the case of a 59-year-old man with chronic pancreatitis who was referred to us with hematemesis and hemorrhagic shock. Computed tomography revealed a splenic artery PSA bleeding intoa pancreatic pseudocyst, and TAE was performed using steel-wire coils. placed inside the aneurysmal cavity, which resulted in the immediate cessationof bleeding. However. several weeks later some of the coils were found to have dislodged through a gastropseudocystic fistula. Furthermore, an early gastric cancer was incidentally found proximal to the fistula. We finally performed open surgery to treat both disorders: primarily for the gastric cancer, but also for the pseudocyst and fistula, with the intermittent discharge of the steel-wire coils. To our knowledge, migration into the stomach of steel-wire coils after TAE has not been described before. It is generallybelieved that the embolization procedure should occlude normal portions ofthe artery both distal and proximal to the PSA with embolization materials. By occluding the PSA in this way, the subsequent migration of steel-wire coils into the pseudocyst and stomach might have been prevented in our patient.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 03:11:18