Vascular complications of pancreatitis: imaging and intervention

Cardiovasc Intervent Radiol. 2008 Sep-Oct;31(5):957-70. doi: 10.1007/s00270-007-9138-y. Epub 2007 Aug 7.

Abstract

The objective of this study was to highlight technical challenges and potential pitfalls of diagnostic imaging, intervention, and postintervention follow-up of vascular complications of pancreatitis. Diagnostic and interventional radiology imaging from patients with pancreatitis from 2002 to 2006 was reviewed. We conclude that biphasic CT is the diagnostic modality of choice. Catheter angiography may (still) be required to diagnose small pseudoaneurysms. Endovascular coiling is the treatment of choice for pseudoaneurysms. Close clinical follow-up is required, as patients may rebleed/develop aneurysms elsewhere.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aneurysm / diagnosis
  • Aneurysm / etiology
  • Aneurysm / therapy
  • Angiography, Digital Subtraction
  • Angioplasty / methods
  • Child
  • Diagnostic Imaging / methods*
  • Embolization, Therapeutic / methods
  • Female
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy
  • Hemoperitoneum / diagnosis
  • Hemoperitoneum / etiology
  • Hemoperitoneum / therapy
  • Humans
  • Male
  • Middle Aged
  • Pancreatitis / complications*
  • Pancreatitis / diagnosis
  • Pancreatitis / therapy
  • Prognosis
  • Radiography, Interventional
  • Risk Assessment
  • Severity of Illness Index
  • Survival Analysis
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Vascular Diseases / diagnosis*
  • Vascular Diseases / etiology
  • Vascular Diseases / mortality
  • Vascular Diseases / therapy*