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Perihepatic caudate lobe haematoma originating from a pancreatic pseudoaneurysm: a diagnostic dilemma.
Ozaki, Ippei; Suyama, Yohsuke; Hamamoto, Kohei; Hyoe, Eiko; Fujisaku, Mai; Shinmoto, Hiroshi.
Afiliación
  • Ozaki I; Department of Radiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
  • Suyama Y; Department of Radiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
  • Hamamoto K; Department of Radiology, Jichi Medical University, Shimotsuke-shi, Japan.
  • Hyoe E; Department of Radiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
  • Fujisaku M; Department of Radiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
  • Shinmoto H; Department of Radiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
BJR Case Rep ; 10(3): uaae018, 2024 May.
Article en En | MEDLINE | ID: mdl-38863810
ABSTRACT
Despite advances in diagnostic imaging and interventional techniques, pancreatic pseudoaneurysms remain a life-threatening complication of pancreatitis. Presentation varies among patients and may include intra-abdominal, retroperitoneal, or gastrointestinal bleeding and bleeding into the pancreatic or common bile duct. We present a unique case of a 74-year-old man with a history of heavy alcohol consumption who presented with a haematoma surrounding the caudate lobe of the liver. Initially, alcoholic cirrhosis and a ruptured hepatocellular carcinoma were suspected. Therefore, transarterial embolization (TAE) of the caudate branch of the hepatic artery was performed. However, 3 months later, the patient experienced abdominal pain with a lesser sac haematoma and a seemingly interconnected pancreatic cyst. One month later, a pseudoaneurysm appeared in the pancreatic cyst. TAE was successfully performed for the pseudoaneurysm, and the patient showed no signs of recurrence during the 1-year follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BJR Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BJR Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido