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 |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: Alexandre de Tarso surname: Machado fullname: Machado, Alexandre de Tarso organization: Hospital Mater Dei – sequence: 2 givenname: Ricardo Jayme surname: Procópio fullname: Procópio, Ricardo Jayme organization: Hospital Mater Dei – sequence: 3 givenname: Franco Antônio Cordeiro surname: Neves fullname: Neves, Franco Antônio Cordeiro organization: Hospital Mater Dei – sequence: 4 givenname: Giovanni Menezes surname: Santos fullname: Santos, Giovanni Menezes organization: Hospital Mater Dei – sequence: 5 givenname: Marcelo Gomes surname: Girundi fullname: Girundi, Marcelo Gomes organization: Hospital Mater Dei – sequence: 6 givenname: Cristina Toledo surname: Afonso fullname: Afonso, Cristina Toledo organization: Universidade Federal de Minas Gerais – sequence: 7 givenname: Tulio Pinho surname: Navarro fullname: Navarro, Tulio Pinho organization: Universidade Federal de Minas Gerais |
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Cites_doi | 10.1097/01.TA.0000114069.73054.45 10.1016/j.amjsurg.2008.11.017 10.1148/radiology.150.1.6689787 10.1016/j.avsg.2008.02.018 10.1016/j.amjsurg.2006.09.007 10.1016/S0741-5214(03)00710-9 10.1148/rg.25si055504 10.1097/00006676-199311000-00004 10.1016/j.amjsurg.2005.03.009 |
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References | Vujic I (ref12) 1984; 150 Hsu JT (ref1) 2006; 6 Tessier DJ (ref6) 2003; 38 Nogara MAS (ref9) 1993; 30 Madoff DC (ref11) 2005; 25 Callejas Neto F (ref3) 1994; 9 Haan JM (ref10) 2004; 56 Ekeh AP (ref13) 2009; 197 Balachandra S (ref5) 2005; 190 Piffaretti G (ref14) 2007; 193 Loffroy R (ref2) 2008; 22 Leonardi LS (ref4) 1987; 2 Ammori BJ (ref8) 1998; 80 Savastano S (ref7) 1993; 8 |
References_xml | – volume: 80 start-page: 316 issn: 0035-8843 year: 1998 ident: ref8 article-title: Haemorrhagic complications of pancreatitis: presentation, diagnosis and management publication-title: Ann R Coll Surg Engl contributor: fullname: Ammori BJ – volume: 56 start-page: 542 issn: 0022-5282 year: 2004 ident: ref10 article-title: Splenic embolization revisited: a multicenter review publication-title: J Trauma doi: 10.1097/01.TA.0000114069.73054.45 contributor: fullname: Haan JM – volume: 197 start-page: 337 issn: 0002-9610 year: 2009 ident: ref13 article-title: The impact of splenic artery embolization on the management of splenic trauma: an 8-year review publication-title: Am J Surg doi: 10.1016/j.amjsurg.2008.11.017 contributor: fullname: Ekeh AP – volume: 150 start-page: 51 issn: 0033-8419 year: 1984 ident: ref12 article-title: Pancreatic and peripancreatic vessels: embolization for control of bleeding in pancreatitis publication-title: Radiology doi: 10.1148/radiology.150.1.6689787 contributor: fullname: Vujic I – volume: 30 start-page: 33 issn: 0004-2803 year: 1993 ident: ref9 article-title: Hemorragia gastrointestinal alta associada à pancreatite crônica e pseudocisto: relato de um caso / Upper gastrointestinal hemorrhage associated with chronic pancreatitis and pseudocyst: report of a case publication-title: Arq Gastroenterol contributor: fullname: Nogara MAS – volume: 9 start-page: 98 year: 1994 ident: ref3 article-title: Bleeding complications of chronic pancreatitis: a surgical approach publication-title: ABCD Arq Bras Cir Dig contributor: fullname: Callejas Neto F – volume: 22 start-page: 618 issn: 0890-5096 year: 2008 ident: ref2 article-title: Transcatheter arterial embolization of splenic artery aneurysms and pseudoaneurysms: short- and long-term results publication-title: Ann Vasc Surg doi: 10.1016/j.avsg.2008.02.018 contributor: fullname: Loffroy R – volume: 2 start-page: 29 year: 1987 ident: ref4 article-title: Management of necrotizing hemorrhagic pancreatitis publication-title: ABCD Arq Bras Cir Dig contributor: fullname: Leonardi LS – volume: 193 start-page: 166 issn: 0002-9610 year: 2007 ident: ref14 article-title: Splenic artery aneurysms: postembolization syndrome and surgical complications publication-title: Am J Surg doi: 10.1016/j.amjsurg.2006.09.007 contributor: fullname: Piffaretti G – volume: 38 start-page: 969 issn: 0741-5214 year: 2003 ident: ref6 article-title: Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literature publication-title: J Vasc Surg doi: 10.1016/S0741-5214(03)00710-9 contributor: fullname: Tessier DJ – volume: 25 start-page: S191 issn: 0271-5333 year: 2005 ident: ref11 article-title: Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications publication-title: Radiographics doi: 10.1148/rg.25si055504 contributor: fullname: Madoff DC – volume: 6 issue: 3 year: 2006 ident: ref1 article-title: Management and outcome of bleeding pseudoaneurysm associated with chronic pancreatitis publication-title: BMC Gastroenterol contributor: fullname: Hsu JT – volume: 8 start-page: 687 issn: 0885-3177 year: 1993 ident: ref7 article-title: Arterial complications of pancreatitis: diagnostic and therapeutic role of radiology publication-title: Pancreas doi: 10.1097/00006676-199311000-00004 contributor: fullname: Savastano S – volume: 190 start-page: 489 issn: 0002-9610 year: 2005 ident: ref5 article-title: Systematic appraisal of the management of the major vascular complications of pancreatitis publication-title: Am J Surg doi: 10.1016/j.amjsurg.2005.03.009 contributor: fullname: Balachandra S |
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