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ECR 2018 / C-1624
Vascular Complications in Pancreatitis
Congress: ECR 2018
Poster No.: C-1624
Type: Educational Exhibit
Keywords: Embolism / Thrombosis, Education and training, Acute, Embolisation, Education, Diagnostic procedure, CT-Angiography, CT, Vascular, Pancreas, Abdomen
Authors: C. McQuade1, C. O Brien2, P. Govender2, W. Torreggiani3; 100000/IE, 2Dublin/IE, 3Dublin 24/IE

Findings and procedure details

We outline below a number of vascular complications arising from pancreatitis. 


Case 1: A 47 year old patient with acute pancreatitis, secondary to alcohol, who subsequently developed a large pseudoaneurysm of the gastroduodenal artery, visualised on CT arterial phase imaging as well as on selective catheter angiography of the coeliac artery. The patient subsequently went on to have percutaneous thrombin injection. 


Case 2: An 82 year old patient with acute pancreatitis. CT imaging demonstrates diffuse pancreatic & peri-pancreatic inflammation, with occlusion of the splenic vein, secondary to the underlying pancreatitis. 


Case 3: A 56 year old patient with acute pancreatitis underwent selective catheter angiography, on which a splenic artery pseudoaneurysm was visualised. 


Case 4: A 51 year old patient, with necrotic pancreatitis developed haemorrhage from the gastroduodenal artery. The patient underwent successful coil embolisation of the gastroduodenal artery. 


Case 5: A 61 year old patient with a background history of acute pancreatitis, was detected to have a posterior right hepatic artery aneurysm on CT imaging. This was a sequela of the prior acute pancreatitis.


Case 6: A 39 year old patient with acute pancreatitis, who developed a thrombus in the superior mesenteric vein. This thrombus was seen to extend to the splenic vein. There is secondary infarction of the splenic parenchyma. 



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