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Case Report
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| Management of a large bleeding pancreatic pseudocyst by embolization | ||||||
| Charaf Tilfine1, Jawad Tadili2, Amine Benkabbou3, Salwa Bouklata1, Nabil Moatassim Billah1 | ||||||
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1Department of Radiology, Mohammed V - Souissi University, Faculty of medicine and pharmacy, Ibn Sina Hospital, Rabat, Morocco.
2Assistant professor, Department of Anesthesiology and critical care , Mohammed V - Souissi University, Faculty of medicine and pharmacy, Ibn Sina Hospital, Rabat, Morocco. 3Assistant professor, Department of Surgery A, Mohammed V - Souissi University, Faculty of medicine and pharmacy, Ibn Sina Hospital, Rabat, Morocco. | ||||||
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| How to cite this article |
| Tilfine C, Tadili J, Benkabbou A, Bouklata S, Billah NM. Management of a large bleeding pancreatic pseudocyst by embolization. Int J Case Rep Images 2016;7(6):408–412. |
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Abstract
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Introduction:
Hemorrhage from a pancreatic pseudocyst is a rare and often fatal complication of pancreatic trauma and pancreatitis. The pancreatic enzymes can erode into adjacent vessels, resulting intracystic hemorrhage or bleeding into the peritoneal cavity, pancreatic duct, stomach, duodenum, colon, or retroperitoneum.
Case Report: We present a case of a large post-traumatic pancreatic pseudocyst in a 17-year-old adolescent, complicated by an intracystic hemorrhage that was successfully treated by selective arterial embolization. Conclusion: A technical refinement both in diagnostic angiography and in transcatheter arterial embolization has strengthened the management of acute pancreatic pseudocyst hemorrhage. The embolization is an effective therapeutic alternative to surgery. A high index of suspicion should be maintained in any patient with a pseudocyst or a history of pancreatic trauma or chronic pancreatitis who presents with the abdominal pain, or falling hemoglobin level. | |
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Keywords:
Embolization, Hemorrhage, Pancreatic pseudocyst, Pancreatic trauma
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Author Contributions
Charaf Tilfine – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Jawad Tadili – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Amine Benkabbou – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Salwa Bouklata – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Nabil Moatassim Billah – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Charaf Tilfine et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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