Hemosuccus pancreaticus successful treatment by double balloon-assisted coil embolization for active bleeding from the main trunk of the superior mesenteric artery

Rika Yoshida, MD; Takeshi Yoshizako, MD; Mitsunari Maruyama, MD; Shinji Ando, MD; Megumi Nakamura, MD; Keiko Fukushi, MD; Yoshikazu Takinami, MD; Yasunari Kawabata, MD; Tomonori Nakamura, MD; Yukihisa Tamaki, MD; Hajime Kitagaki, MD

Radiology Case Reports (Jun 2018)

Hemosuccus pancreaticus successful treatment by double balloon-assisted coil embolization for active bleeding from the main trunk of the superior mesenteric artery

Rika Yoshida, MD,
Takeshi Yoshizako, MD,
Mitsunari Maruyama, MD,
Shinji Ando, MD,
Megumi Nakamura, MD,
Keiko Fukushi, MD,
Yoshikazu Takinami, MD,
Yasunari Kawabata, MD,
Tomonori Nakamura, MD,
Yukihisa Tamaki, MD,
Hajime Kitagaki, MD

Affiliations

Rika Yoshida, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan; Corresponding author.
Takeshi Yoshizako, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Mitsunari Maruyama, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Shinji Ando, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Megumi Nakamura, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Keiko Fukushi, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Yoshikazu Takinami, MD: Department of Emergency, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Yasunari Kawabata, MD: Department of Digestive and General Surgery, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Tomonori Nakamura, MD: Department of Radiology, Matsue Seikyo Hospital, Matsue, Shimane, Japan
Yukihisa Tamaki, MD: Department of Radiation Oncology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
Hajime Kitagaki, MD: Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan

Journal volume & issue: Vol. 13, no. 3
pp. 644 – 647

Abstract

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We report a case of a 63-year-old man with hemosuccus pancreaticus due to large pseudoaneurysm originating from the main trunk of the superior mesenteric artery (SMA). The patient was treated successfully with the double balloon-assisted coil embolization technique combined with proximal and distal balloon inflation in the short segment of the SMA. This technique preserved the pancreaticoduodenal arterial arcade and the supply to the distal part of the SMA by embolizing SMA in a short segment. Keywords: Hemosuccus pancreaticus, Pseudoaneurysm, Superior mesenteric artery

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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