Chua Wei Ming, Venkatanarasimha Nanda, Damodharan Karthikeyan
Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
Indian J Radiol Imaging. 2017 Jul-Sep;27(3):338-341. doi: 10.4103/0971-3026.215571.
Empirical embolization of the gastroduodenal artery (GDA) is accepted as a safe and effective treatment option for endoscopy-refractory nonvariceal upper gastrointestinal bleeding (UGIB) in patients with high surgical risk. Nontarget embolization is a recognized complication of transarterial embolization, however, symptomatic pancreatic injury is extremely rare. We report a patient who developed acute ischemic pancreatitis immediately after embolization of the GDA, which was confirmed intraoperatively. Interventionists as well as referring clinicians need to be aware of this rare but life threatening complication.
对于手术风险高的内镜治疗难治性非静脉曲张性上消化道出血(UGIB)患者,胃十二指肠动脉(GDA)的经验性栓塞被认为是一种安全有效的治疗选择。非靶血管栓塞是经动脉栓塞公认的并发症,然而,有症状的胰腺损伤极为罕见。我们报告一例患者,在GDA栓塞后立即发生急性缺血性胰腺炎,术中得到证实。介入医生以及转诊的临床医生需要意识到这种罕见但危及生命的并发症。