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Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis
Vascular complications, such as pseudoaneurysms and thrombosis, are uncommon in pediatric acute pancreatitis (AP); hence, treatment experience remains limited. Here, we report a case of adolescent AP complicated with pseudoaneurysms and venous thrombosis simultaneously. Even after multiple endovascu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889187/ https://www.ncbi.nlm.nih.gov/pubmed/36733570 http://dx.doi.org/10.7759/cureus.33228 |
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author | Wada, Soichiro Matsumoto, Sasagu Sai, Shuji Ambo, Yoshiyasu Sakurai, Yasuo |
author_facet | Wada, Soichiro Matsumoto, Sasagu Sai, Shuji Ambo, Yoshiyasu Sakurai, Yasuo |
author_sort | Wada, Soichiro |
collection | PubMed |
description | Vascular complications, such as pseudoaneurysms and thrombosis, are uncommon in pediatric acute pancreatitis (AP); hence, treatment experience remains limited. Here, we report a case of adolescent AP complicated with pseudoaneurysms and venous thrombosis simultaneously. Even after multiple endovascular embolizations for pseudoaneurysms, the patient experienced hemorrhagic shock resulting from pseudoaneurysm rupture after taking anticoagulants for thrombus. Inevitably, a total pancreatectomy was performed to prevent bleeding and control local complications. In AP, even among the pediatric population, a therapeutic dilemma between bleeding prevention and anticoagulation for thrombosis may occur. Despite the lack of experience with AP and its complications, a total pancreatectomy may become an alternative therapy for refractory AP or its complications. |
format | Online Article Text |
id | pubmed-9889187 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-98891872023-02-01 Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis Wada, Soichiro Matsumoto, Sasagu Sai, Shuji Ambo, Yoshiyasu Sakurai, Yasuo Cureus Pediatrics Vascular complications, such as pseudoaneurysms and thrombosis, are uncommon in pediatric acute pancreatitis (AP); hence, treatment experience remains limited. Here, we report a case of adolescent AP complicated with pseudoaneurysms and venous thrombosis simultaneously. Even after multiple endovascular embolizations for pseudoaneurysms, the patient experienced hemorrhagic shock resulting from pseudoaneurysm rupture after taking anticoagulants for thrombus. Inevitably, a total pancreatectomy was performed to prevent bleeding and control local complications. In AP, even among the pediatric population, a therapeutic dilemma between bleeding prevention and anticoagulation for thrombosis may occur. Despite the lack of experience with AP and its complications, a total pancreatectomy may become an alternative therapy for refractory AP or its complications. Cureus 2023-01-01 /pmc/articles/PMC9889187/ /pubmed/36733570 http://dx.doi.org/10.7759/cureus.33228 Text en Copyright © 2023, Wada et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pediatrics Wada, Soichiro Matsumoto, Sasagu Sai, Shuji Ambo, Yoshiyasu Sakurai, Yasuo Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis |
title | Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis |
title_full | Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis |
title_fullStr | Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis |
title_full_unstemmed | Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis |
title_short | Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis |
title_sort | adolescent acute pancreatitis complicated with pseudoaneurysms and venous thrombosis |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889187/ https://www.ncbi.nlm.nih.gov/pubmed/36733570 http://dx.doi.org/10.7759/cureus.33228 |
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