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Radiology, Vol 150, 51-55, Copyright © 1984 by Radiological Society of North America

ARTICLES

Pancreatic and peripancreatic vessels: embolization for control of bleeding in pancreatitis

I Vujic, BL Andersen, JH Stanley and RP Gobien

Bleeding associated with pancreatitis has a high mortality rate. Angiographic demonstration of uncontrollable bleeding or large pseudoaneurysms is an indication for emergency surgery. We have encountered a group of patients with obvious clinical gastrointestinal hemorrhage out of proportion to angiographic findings. Vessel abnormalities included areas of encasement, small pseudoaneurysms, and occasional extravasation without a clearly defined source. With the high risk of mortality in such patients, embolization is a viable method of therapy. Three patients are described who had different angiographic presentations and in whom hemorrhage was safely controlled with embolic therapy using nonpermanent occlusive materials.


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[Abstract] [Full Text] [PDF]


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