The Teaching Point

CT-angiography is a fundamental diagnostic tool in suspicion of bleeding peripancreatic pseudoaneurysm to identify the bleeding site and to adequately plan endovascular treatment. When performing DSA it is mandatory to assess expendability of the parent artery in order to select the most suitable embolization technique. Endovascular treatment should always be considered the first-line treatment for bleeding peripancreatic pseudoaneurysms in haemodynamically stable and, in some circumstances, relatively unstable patients.






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From the manuscript

Acute-phase endovascular management of an uncommon bleeding peripancreatic pseudoaneurysm

Free full text article: Acute-phase endovascular management of an uncommon bleeding peripancreatic pseudoaneurysm

Abstract
Pancreatic pseudoaneurysms represent relatively rare but potentially lethal complications of acute or chronic pancreatitis, involving several visceral arteries. Due to their intrinsic instability and subsequent high risk of massive bleeding, these lesions require prompt treatment, regardless of the size of the pseudoaneurysm. First option of treatment is today represented by transcatheter embolization; this treatment, in fact, shows higher rates of clinical and technical success and lower recurrence rates than conventional surgery. We present a clinical case of endovascular management of a large pseudoaneurysm, measuring 54 x 53 mm (AP x LL), involving right gastric artery in a 35-year-old woman with history of chronic alcoholic abuse presenting with severe anemia.






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1. CTA

2. DSA

3. Pancreatic pseudocyst

4. Visceral pseudoaneurysm

5. Embolization


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