Percutaneous N-Butyl-Cyanoacrylate Embolization for Treating Ruptured Pancreaticoduodenal Aneurysm: A Case Report
Joo Yeon Jang,
Jin Hyeok Kim,
Tae Un Kim,
Hwaseong Ryu,
Tae Beom Lee,
Je Ho Ryu,
Ung Bae Jeon
Affiliations
Joo Yeon Jang
Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Jin Hyeok Kim
Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Tae Un Kim
Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Hwaseong Ryu
Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Tae Beom Lee
Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Je Ho Ryu
Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Ung Bae Jeon
Department of Radiology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan 50612, Korea
Background and Objectives: Pancreaticoduodenal artery aneurysms are rare visceral artery aneurysms. Interventional treatments, including transcatheter embolization, have an acceptable success rate. We report a case of ruptured pancreaticoduodenal aneurysm that was successfully treated with percutaneous N-Butyl-cyanoacrylate (NBCA) embolization after failed transcatheter embolization. Materials and Methods: A 53-year-old man presented to the emergency department with abdominal pain. Computed tomography (CT) revealed a ruptured aneurysm in the inferior pancreaticoduodenal artery (IPDA) with retrohemoperitoneum. The patient underwent percutaneous NBCA embolization after transcatheter embolization failure. Results: On CT, the pancreaticoduodenal aneurysm was completely embolized. No additional bleeding events occurred. Conclusions: Percutaneous NBCA embolization is safe and effective for treating patients with ruptured pancreaticoduodenal aneurysms after failed transcatheter embolization.
