Open AccessSuccessful management of hepatic artery pseudoaneurysm complicating chronic pancreatitis by stenting
Author(s) -
Cynthia Sudar Singh,
Kamini Giri,
Richa Gupta,
Mohammed Aladdin,
Harinder Sawhney
Publication year - 2006
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v12.i35.5733
Subject(s) - medicine , pancreatitis , pseudoaneurysm , stent , radiology , nausea , common hepatic artery , vomiting , surgery , leak , abdomen , aneurysm , artery , environmental engineering , engineering
A 41-year old alchoholic male with a history of chronic pancreatitis was admitted for nausea, vomiting and weight loss. Angiogram was performed and demonstrated an aneurysmal sac with a narrow neck originating from the inferior aspect of the distal portion of the proper hepatic artery. The origin of the pseudoaneurysm was covered with a 5 mm multiply 2.5 cm Viabahn cover stent (Gore). A repeat angiogram showed some leak and a second stent (6 mm multiply 2.3 cm) was deployed and overlapped with the first stent by 3 mm. Contrast was injected and a repeat angiogram demonstrated complete exclusion of the aneurysm. A repeat computerized axial tomography (CAT) scan of the abdomen after 24 h showed successful stenting. The patient had an uneventful post-operative course.