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Click 47 year old male with a giant pseudoaneurysm in the pancreas head. Contrast enhanced CT (arterial phase) in axial plane of the upper abdomen shows a giant pseudoaneurysm with a perfused part of 4.5 x 5.7 cm in size. The pseudoaneurym originates from the gastroduodenal artery. As a sign of the underlying chronic pancreatitis, there are calcifications in the pancreatic body. (protocol: 120 kV, 250 mAs, 3 mm slice thickness, 150 ml Imeron 300, Altana, Germany).

Click 47 year old male with a giant pseudoaneurysm in the pancreas head. Gastroduodenal occlusion with coils: Superselective angiography with a F2.7 microcatheter (Progreat , Terumo, USA) placed in the gastroduodenal artery (GDA) after complete occlusion of the GDA distal the entry of the pseudoaneurysm with three Interlocking Detachable Coils (black arrow). The hepatic artery is patent (manual injection of 2,5 ml Imeron 300, Altana, Germany).

Click 47 year old male with a giant pseudoaneurysm in the pancreas head. In the pseudoaneurysm: Angiogram with microcatheter (Progreat , Terumo, USA) placed in the pseudoaneurysm after occlusion of the gastroduodenal artery (GDA) distal the entry of the pseudoaneurysm with three Interlocking Detachable Coils and superselective embolization of the pseudoaneurysm with 18 Interlocking Detachable Coils (manual injection of 2,5 ml Imeron 300, Altana, Germany).

Click 47 year old male with a giant pseudoaneurysm in the pancreas head. Contrast-enhanced CT (arterial phase) in axial plane of the upper abdomen 6 weeks after embolization of a giant pseudoaneurysm in the pancreas head with coils and Lipiodol and Ethibloc composite shows no relevant perfusion of the pseudoaneurysm (protocol: 120 kV, 290 mAs, 3 mm slice thickness, 150 ml Imeron 300, Altana, Germany).