Cargando…
Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus
A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (he...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Interventional Radiology
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550426/ https://www.ncbi.nlm.nih.gov/pubmed/36284663 http://dx.doi.org/10.22575/interventionalradiology.2020-0002 |
_version_ | 1784805882377273344 |
---|---|
author | Nakama, Rakuhei Yagami, Toshiaki Kono, Isao Arakawa, Kazukiyo Usui, Koki Kato, Koki Tanimura, Keiichi Honda, Masanori |
author_facet | Nakama, Rakuhei Yagami, Toshiaki Kono, Isao Arakawa, Kazukiyo Usui, Koki Kato, Koki Tanimura, Keiichi Honda, Masanori |
author_sort | Nakama, Rakuhei |
collection | PubMed |
description | A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA. |
format | Online Article Text |
id | pubmed-9550426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society of Interventional Radiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-95504262022-10-24 Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus Nakama, Rakuhei Yagami, Toshiaki Kono, Isao Arakawa, Kazukiyo Usui, Koki Kato, Koki Tanimura, Keiichi Honda, Masanori Interv Radiol (Higashimatsuyama) Case Report A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA. The Japanese Society of Interventional Radiology 2020-06-30 /pmc/articles/PMC9550426/ /pubmed/36284663 http://dx.doi.org/10.22575/interventionalradiology.2020-0002 Text en © 2020 Japanese Society of Interventional Radiology https://creativecommons.org/licenses/by-nc/4.0/Interventional Radiology is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Case Report Nakama, Rakuhei Yagami, Toshiaki Kono, Isao Arakawa, Kazukiyo Usui, Koki Kato, Koki Tanimura, Keiichi Honda, Masanori Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
title | Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
title_full | Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
title_fullStr | Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
title_full_unstemmed | Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
title_short | Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
title_sort | outflow of n-butyl-2-cyanoacrylate into the pancreatic duct: transcatheter arterial embolization for hemosuccus pancreaticus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550426/ https://www.ncbi.nlm.nih.gov/pubmed/36284663 http://dx.doi.org/10.22575/interventionalradiology.2020-0002 |
work_keys_str_mv | AT nakamarakuhei outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT yagamitoshiaki outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT konoisao outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT arakawakazukiyo outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT usuikoki outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT katokoki outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT tanimurakeiichi outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus AT hondamasanori outflowofnbutyl2cyanoacrylateintothepancreaticducttranscatheterarterialembolizationforhemosuccuspancreaticus |