Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm
Splenic pseudoaneurysm rupture is a serious condition that sometimes leads to death. Pseudoaneurysm rupture is often treated with transcatheter arterial embolization (TAE), after which the re-rupture rate is 18%-37%. A 59-year-old man presented with back pain, and contrast-enhanced computed tomograp...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2025-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240058 |
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| author | Takashi Ito Tsukasa Ikeura Koh Nakamaru Masataka Masuda Shinji Nakayama Makoto Naganuma |
| author_facet | Takashi Ito Tsukasa Ikeura Koh Nakamaru Masataka Masuda Shinji Nakayama Makoto Naganuma |
| author_sort | Takashi Ito |
| collection | DOAJ |
| description | Splenic pseudoaneurysm rupture is a serious condition that sometimes leads to death. Pseudoaneurysm rupture is often treated with transcatheter arterial embolization (TAE), after which the re-rupture rate is 18%-37%. A 59-year-old man presented with back pain, and contrast-enhanced computed tomography (CECT) revealed pancreatic tail cancer with multiple liver metastases. After three courses of chemotherapy, CECT revealed good response with shrinkage of the tumors. However, the patient had back pain and CECT revealed pancreatic pseudocyst with pseudoaneurysm rupture. He underwent angiography, wherein the splenic artery pseudoaneurysm was embolized using TAE. Subsequently, pseudocyst drainage was performed using lumen-apposing metal stent (LAMS) to prevent pseudoaneurysm re-rupture. Thereafter, the pseudocyst shrieked with decreased serum levels of C-reactive protein, allowing the patient to re-institute chemotherapy. Pseudocyst drainage using LAMS was safe and effective when the pancreatic pseudoaneurysm had a high-risk rebleeding due to exposure to pancreatic juice. |
| format | Article |
| id | doaj-art-445bfc1cb70e45a69189e297a5cb6321 |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-445bfc1cb70e45a69189e297a5cb63212025-01-22T15:13:37ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-01-01141323410.18528/ijgii240058ijgii240058Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysmTakashi Ito0Tsukasa Ikeura1Koh Nakamaru2Masataka Masuda3Shinji Nakayama4Makoto Naganuma5Division of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Osaka, JapanDivision of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Osaka, JapanDivision of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Osaka, JapanDivision of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Osaka, JapanDivision of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Osaka, JapanDivision of Gastroenterology and Hepatology, The Third Department of Internal Medicine, Kansai Medical University, Osaka, JapanSplenic pseudoaneurysm rupture is a serious condition that sometimes leads to death. Pseudoaneurysm rupture is often treated with transcatheter arterial embolization (TAE), after which the re-rupture rate is 18%-37%. A 59-year-old man presented with back pain, and contrast-enhanced computed tomography (CECT) revealed pancreatic tail cancer with multiple liver metastases. After three courses of chemotherapy, CECT revealed good response with shrinkage of the tumors. However, the patient had back pain and CECT revealed pancreatic pseudocyst with pseudoaneurysm rupture. He underwent angiography, wherein the splenic artery pseudoaneurysm was embolized using TAE. Subsequently, pseudocyst drainage was performed using lumen-apposing metal stent (LAMS) to prevent pseudoaneurysm re-rupture. Thereafter, the pseudocyst shrieked with decreased serum levels of C-reactive protein, allowing the patient to re-institute chemotherapy. Pseudocyst drainage using LAMS was safe and effective when the pancreatic pseudoaneurysm had a high-risk rebleeding due to exposure to pancreatic juice.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240058drainagepancreatic pseudocystpancreatitispseudoaneurysmultrasonography |
| spellingShingle | Takashi Ito Tsukasa Ikeura Koh Nakamaru Masataka Masuda Shinji Nakayama Makoto Naganuma Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm International Journal of Gastrointestinal Intervention drainage pancreatic pseudocyst pancreatitis pseudoaneurysm ultrasonography |
| title | Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm |
| title_full | Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm |
| title_fullStr | Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm |
| title_full_unstemmed | Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm |
| title_short | Successful pancreatic pseudocyst drainage using lumen-apposing metal stent for preventing re-rupture of splenic artery pseudoaneurysm |
| title_sort | successful pancreatic pseudocyst drainage using lumen apposing metal stent for preventing re rupture of splenic artery pseudoaneurysm |
| topic | drainage pancreatic pseudocyst pancreatitis pseudoaneurysm ultrasonography |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240058 |
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