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  • Placement of a flow diverter-like stent together with coil embolisation for treatment of pancreatic pseudoaneurysm involving the origin of the gastroduodenal artery

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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
Placement of a flow diverter-like stent together with coil embolisation for treatment of pancreatic pseudoaneurysm involving the origin of the gastroduodenal artery
  1. Sameet Patel1,
  2. Sanjay Chandnani1,
  3. Avinash Gutte2 and
  4. Pravin M Rathi1
  1. 1Gastroenterology, Topiwala National Medical College, Mumbai, India
  2. 2Department of Interventional Radiology, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
  1. Correspondence to Dr Sameet Patel; sameetpat8{at}gmail.com

Abstract

A pancreatic pseudoaneurysm can occur following an attack of pancreatitis. This occurs due to erosion of the pancreatic or peripancreatic artery by the pancreatic enzyme-rich pancreatic secretion pseudocyst. If left untreated, it may cause massive and even fatal haemorrhage. Interventional radiology with coil embolisation of the pseudoaneurysm is the standard of care in such cases. We describe a patient who developed a pseudoaneurysm involving the origin of the gastroduodenal artery (GDA). This was successfully managed by coil embolisation of the pseudoaneurysm along with placement of a flow diverter-like stent in the common hepatic artery across the origin of the GDA leading to exclusion of the diseased segment.

  • Gastroenterology
  • Pancreatitis
  • Interventional radiology

https://doi.org/10.1136/bcr-2022-248946

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    Footnotes

    • Contributors SP—case management, concept, literature search, manuscript preparation, editing and review. SC—case management, concept, literature search, manuscript editing and review. AG—case management (radiological intervention), concept, manuscript editing and review. PMR—case management, concept, manuscript editing and review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.