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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(02): 130-133
DOI: 10.1055/s-0037-1603197
Case Report
Indian Society of Vascular and Interventional Radiology

Primary Management of Large Pancreatic Pseudoaneurysm by Ultrasound-Guided Percutaneous Thrombin Injection after Failure of Transarterial Pseudoaneurysm Embolization

Pawan Kumar Garg
1   Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Pushpinder Singh Khera
1   Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Rengarajan Rajagopal
1   Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Neeraj Mehta
1   Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Swarnava Tarafdar
1   Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
› Author Affiliations
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Publication History

Publication Date:
28 July 2017 (online)

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Abstract

Pancreatic pseudoaneurysm is a rare but life-threatening complication secondary to pancreatitis, surgery, trauma, or infection. Early treatment is advocated due to high risk of rupture and bleeding. Surgical treatment has traditionally been the first line but is associated with high morbidity. Transarterial embolization or exclusion is the treatment of choice; however, in cases with failure of endovascular treatment, percutaneous thrombin injection can be used successfully. We present a case of a large pancreatic pseudoaneurysm managed successfully with percutaneous ultrasound-guided thrombin injection after failure of transarterial management.

Keywords

pancreatic pseudoaneurysm - percutaneous thrombin injection - pseudoaneurysm embolization
 

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