Skip to main content
Erschienen in: Pediatric Surgery International 1/2012

01.01.2012 | Case Report

Percutaneous ultrasound-guided thrombin injection of a post-traumatic pancreatic pseudoaneurysm in a pediatric patient

verfasst von: Raelene D. Kennedy, Allison J. Clapp, D. Dean Potter, Michael A. McKusick, Bret T. Petersen, Jeremy L. Friese

Erschienen in: Pediatric Surgery International | Ausgabe 1/2012

Einloggen, um Zugang zu erhalten

Abstract

Non-operative management for blunt injuries to the proximal pancreas has become increasingly common. A bleeding pseudoaneurysm in the setting of a traumatic pancreatic pseudocyst presents a morbid operation. We present the case of a 15-year old with a grade V pancreatic injury that developed a bleeding pseudoaneurysm successfully treated with percutaneous ultrasound-guided thrombin injection.
Literatur
1.
Zurück zum Zitat Stabile BE, Wilson SE et al (1983) Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis. Arch Surg 118(1):45–51PubMedCrossRef Stabile BE, Wilson SE et al (1983) Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis. Arch Surg 118(1):45–51PubMedCrossRef
2.
Zurück zum Zitat Mendelson R, Anderson J et al (2005) Vascular complications of pancreatitis. ANZ J Surg 75:1073–1079PubMedCrossRef Mendelson R, Anderson J et al (2005) Vascular complications of pancreatitis. ANZ J Surg 75:1073–1079PubMedCrossRef
3.
Zurück zum Zitat Bergert H, Dobrowolski F et al (2004) Prevalence and treatment of bleeding complications in chronic pancreatitis. Langenbecks Arch Surg 389(6):504–510PubMedCrossRef Bergert H, Dobrowolski F et al (2004) Prevalence and treatment of bleeding complications in chronic pancreatitis. Langenbecks Arch Surg 389(6):504–510PubMedCrossRef
4.
Zurück zum Zitat Cope C, Zeit R (1986) Coagulation of aneurysms by direct percutaneous thrombin injection. AJR 147:383–387PubMed Cope C, Zeit R (1986) Coagulation of aneurysms by direct percutaneous thrombin injection. AJR 147:383–387PubMed
5.
Zurück zum Zitat Tisi PV, Callum MJ (2009) Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev 15(2):CD004981 Tisi PV, Callum MJ (2009) Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev 15(2):CD004981
6.
Zurück zum Zitat Hussain Q, Maleux G, Heye S et al (2009) Post-catheterization pseudoaneurysm in a one-year-old child treated by ultrasound-guided human thrombin injection. JBR-BTR 92:76–77PubMed Hussain Q, Maleux G, Heye S et al (2009) Post-catheterization pseudoaneurysm in a one-year-old child treated by ultrasound-guided human thrombin injection. JBR-BTR 92:76–77PubMed
7.
Zurück zum Zitat Pelchovitz DJ, Cahill AM, Baskin KM et al (2005) Pseudoaneurysm in children: diagnosis and interventional management. Pediatr Radiol 35:434–439PubMedCrossRef Pelchovitz DJ, Cahill AM, Baskin KM et al (2005) Pseudoaneurysm in children: diagnosis and interventional management. Pediatr Radiol 35:434–439PubMedCrossRef
8.
Zurück zum Zitat Fraser JD, Cully BE, Rivard DC et al (2009) Traumatic pseudoaneurysm of the anterior tibial artery treated with ultrasound-guided thrombin injection in a pediatric patient. J Ped Surg 44:444–447CrossRef Fraser JD, Cully BE, Rivard DC et al (2009) Traumatic pseudoaneurysm of the anterior tibial artery treated with ultrasound-guided thrombin injection in a pediatric patient. J Ped Surg 44:444–447CrossRef
9.
Zurück zum Zitat Mann GS, Heran KS (2007) Percutaneous thrombin embolization of a post-traumatic superficial temporal artery pseudoaneurysm. Pediatr Radiol 37:578–580PubMedCrossRef Mann GS, Heran KS (2007) Percutaneous thrombin embolization of a post-traumatic superficial temporal artery pseudoaneurysm. Pediatr Radiol 37:578–580PubMedCrossRef
10.
Zurück zum Zitat Oechsle S, vollert K, Buecklein W et al (2006) Percutaneous treatment of a ruptured superior mesenteric artery aneurysm in a child. Pediatr Radiol 36:268–271PubMedCrossRef Oechsle S, vollert K, Buecklein W et al (2006) Percutaneous treatment of a ruptured superior mesenteric artery aneurysm in a child. Pediatr Radiol 36:268–271PubMedCrossRef
11.
Zurück zum Zitat Sparrow P, Asquith J, Chalmers N (2003) Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin. Cardiovasc Intervent Radiol 26:312–315PubMedCrossRef Sparrow P, Asquith J, Chalmers N (2003) Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin. Cardiovasc Intervent Radiol 26:312–315PubMedCrossRef
12.
Zurück zum Zitat McErlean A, Looby S, Lee MJ (2007) Pancreatic ultrasound-guided thrombin injection as a first-line treatment of pancreatic pseudoaneurysm. Cardiovasc Intervent Radiol 30:526–528PubMedCrossRef McErlean A, Looby S, Lee MJ (2007) Pancreatic ultrasound-guided thrombin injection as a first-line treatment of pancreatic pseudoaneurysm. Cardiovasc Intervent Radiol 30:526–528PubMedCrossRef
13.
Zurück zum Zitat Carr JA, Cho J, Shepard AD et al (2000) Visceral pseudoaneurysms due to pancreatic pseudocysts: rare but lethal complications of pancreatitis. J Vasc Surg 32:722–730PubMedCrossRef Carr JA, Cho J, Shepard AD et al (2000) Visceral pseudoaneurysms due to pancreatic pseudocysts: rare but lethal complications of pancreatitis. J Vasc Surg 32:722–730PubMedCrossRef
14.
Zurück zum Zitat Bergert H, Hinterseher I, Kersting S et al (2005) Management and outcome of hemorrhage due to arterial pseudoaneurysms in pancreatitis. Surgery 137:323–328PubMedCrossRef Bergert H, Hinterseher I, Kersting S et al (2005) Management and outcome of hemorrhage due to arterial pseudoaneurysms in pancreatitis. Surgery 137:323–328PubMedCrossRef
15.
Zurück zum Zitat Armstrong EM, Edwards A, Kingsnorth AN et al (2003) Ultrasound guided thrombin injection to treat a pseudoaneurysm secondary to chronic pancreatitis. Eur J Vasc Endovasc Surg 26(4):448–449PubMedCrossRef Armstrong EM, Edwards A, Kingsnorth AN et al (2003) Ultrasound guided thrombin injection to treat a pseudoaneurysm secondary to chronic pancreatitis. Eur J Vasc Endovasc Surg 26(4):448–449PubMedCrossRef
16.
Zurück zum Zitat Manazer JR, Monzon JR, Dietz PA et al (2003) Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injection. J Vasc Surg 38(3):600–602PubMedCrossRef Manazer JR, Monzon JR, Dietz PA et al (2003) Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injection. J Vasc Surg 38(3):600–602PubMedCrossRef
17.
Zurück zum Zitat Puri S, Nicholson AA, Breen DJ (2003) Percutaneous thrombin injection for the treatment of a post-pancreatitis pseudoaneurysm. Eur Radiol 13(Suppl 4):L79–L82PubMedCrossRef Puri S, Nicholson AA, Breen DJ (2003) Percutaneous thrombin injection for the treatment of a post-pancreatitis pseudoaneurysm. Eur Radiol 13(Suppl 4):L79–L82PubMedCrossRef
18.
Zurück zum Zitat Sparrow P, Asquith J, Chalmers N (2003) Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin. Cardiovasc Intervent Radiol 26(3):312–315PubMedCrossRef Sparrow P, Asquith J, Chalmers N (2003) Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin. Cardiovasc Intervent Radiol 26(3):312–315PubMedCrossRef
19.
Zurück zum Zitat Goeghegan T, Tuite D, McAuley G et al (2004) Percutaneous thrombin injection for the treatment of a post-pancreatitis pseudoaneurysm of the gastroduodenal artery. Eur Radiol 14(11):2144–2145CrossRef Goeghegan T, Tuite D, McAuley G et al (2004) Percutaneous thrombin injection for the treatment of a post-pancreatitis pseudoaneurysm of the gastroduodenal artery. Eur Radiol 14(11):2144–2145CrossRef
20.
Zurück zum Zitat Ghassemi A, Javit D, Dillon EH (2006) Thrombin injection of a pancreaticoduodenal artery pseudoaneurysm after failed attempts at transcatheter embolization. J Vasc Surg 43(3):618–622PubMedCrossRef Ghassemi A, Javit D, Dillon EH (2006) Thrombin injection of a pancreaticoduodenal artery pseudoaneurysm after failed attempts at transcatheter embolization. J Vasc Surg 43(3):618–622PubMedCrossRef
21.
Zurück zum Zitat Williams M, Alderson D, Virjee J et al (2006) CT-guided percutaneous thrombin injection for treatment of an inferior pancreaticoduodenal artery pseudoaneurysm. Cardiovasc Intervent Radiol 29(4):669–671PubMedCrossRef Williams M, Alderson D, Virjee J et al (2006) CT-guided percutaneous thrombin injection for treatment of an inferior pancreaticoduodenal artery pseudoaneurysm. Cardiovasc Intervent Radiol 29(4):669–671PubMedCrossRef
22.
Zurück zum Zitat McErlean A, Looby S, Lee MJ (2007) Percutaneous ultrasound-guided thrombin injection as first-line treatment of pancreatic pseudoaneurysm. Cardiovasc Intervent Radiol 30:526–528PubMedCrossRef McErlean A, Looby S, Lee MJ (2007) Percutaneous ultrasound-guided thrombin injection as first-line treatment of pancreatic pseudoaneurysm. Cardiovasc Intervent Radiol 30:526–528PubMedCrossRef
23.
Zurück zum Zitat Ward E, Buckley O, Doody O et al (2007) Percutaneous thrombin embolization of a ruptured peripancreatic pseudoaneurysm. Digestion 76:188–191PubMedCrossRef Ward E, Buckley O, Doody O et al (2007) Percutaneous thrombin embolization of a ruptured peripancreatic pseudoaneurysm. Digestion 76:188–191PubMedCrossRef
24.
Zurück zum Zitat Levy MJ, Chak A (2009) EUS 2008 working group document: evaluation of EUS-guided vascular therapy. Gastrointest Endosc 69:S37–S42PubMedCrossRef Levy MJ, Chak A (2009) EUS 2008 working group document: evaluation of EUS-guided vascular therapy. Gastrointest Endosc 69:S37–S42PubMedCrossRef
Metadaten
Titel
Percutaneous ultrasound-guided thrombin injection of a post-traumatic pancreatic pseudoaneurysm in a pediatric patient
verfasst von
Raelene D. Kennedy
Allison J. Clapp
D. Dean Potter
Michael A. McKusick
Bret T. Petersen
Jeremy L. Friese
Publikationsdatum
01.01.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Surgery International / Ausgabe 1/2012
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-011-2981-6

Weitere Artikel der Ausgabe 1/2012

Pediatric Surgery International 1/2012 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.