Tratamento endovascular de hemorragia secundária a lesão da artéria esplênica na pancreatite aguda: relato de caso

A lesão arterial esplênica é uma rara complicação relacionada a situações como trauma, lesão iatrogênica e pancreatite. Hemostasia pode ser feita por identificação do foco do sangramento através de cateterismo seletivo seguido por embolização do ramo sangrante. Relata-se caso clínico de um paciente...

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Published in:Jornal vascular brasileiro Vol. 9; no. 1; pp. 61 - 65
Main Authors: Machado, Alexandre de Tarso, Procópio, Ricardo Jayme, Neves, Franco Antônio Cordeiro, Santos, Giovanni Menezes, Girundi, Marcelo Gomes, Afonso, Cristina Toledo, Navarro, Tulio Pinho
Format: Journal Article
Language:English
Published: 30-04-2010
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Abstract A lesão arterial esplênica é uma rara complicação relacionada a situações como trauma, lesão iatrogênica e pancreatite. Hemostasia pode ser feita por identificação do foco do sangramento através de cateterismo seletivo seguido por embolização do ramo sangrante. Relata-se caso clínico de um paciente portador de pancreatite biliar que apresentou, durante procedimento de necrosectomia, hemorragia decorrente da ruptura da artéria esplênica, sendo, então, tratado com sucesso por embolização supersseletiva. Splenic artery injury is a rare complication related to trauma, iatrogenic injury, and pancreatitis. Hemostasis can be made by identification of the vascular lesion through selective catheterism followed by embolization of the bleeding vessel. We report a case of a patient with biliary pancreatitis, who presented hemorrhage due to rupture of the splenic artery during a necrosectomy procedure and was successfully treated with selective embolization.
AbstractList A lesão arterial esplênica é uma rara complicação relacionada a situações como trauma, lesão iatrogênica e pancreatite. Hemostasia pode ser feita por identificação do foco do sangramento através de cateterismo seletivo seguido por embolização do ramo sangrante. Relata-se caso clínico de um paciente portador de pancreatite biliar que apresentou, durante procedimento de necrosectomia, hemorragia decorrente da ruptura da artéria esplênica, sendo, então, tratado com sucesso por embolização supersseletiva. Splenic artery injury is a rare complication related to trauma, iatrogenic injury, and pancreatitis. Hemostasis can be made by identification of the vascular lesion through selective catheterism followed by embolization of the bleeding vessel. We report a case of a patient with biliary pancreatitis, who presented hemorrhage due to rupture of the splenic artery during a necrosectomy procedure and was successfully treated with selective embolization.
Author Afonso, Cristina Toledo
Procópio, Ricardo Jayme
Machado, Alexandre de Tarso
Girundi, Marcelo Gomes
Neves, Franco Antônio Cordeiro
Santos, Giovanni Menezes
Navarro, Tulio Pinho
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