Nécrose colique après embolisation d'un pseudo-anévrisme pancréatique

Translated title of the contribution: Colitis necrosis following a pancreatic pseudocyst embolization

M. Legrand, L. Lecuyer, Andry Van De Louw

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 43-year-old man with chronic alcohol pancreatitis was admitted in our intensive care unit for an haemorrhagic shock. An abdominal CT-scan performed on admission showed bleeding from a vessel in a pancreatic pseudocyst. Initial treatment included intravenous fluids, transfusion, mechanical ventilation and vasopressive support. Percutaneous arterial embolization (PAE) of a bleeding right superior colon artery was performed with an initial good result. Nevertheless after initial clinical improvement, hypotension refractory to fluid management occurred. An abdominal CT-scan disclosed pneumatosis in right colon. A right hemicolectomy was performed. Histologic analysis confirmed ischemic colitis. The patient recovered and was discharged from the intensive care unit. Colitis necrosis after PAE for pancreatic pseudoaneurysm had never been described before. It should be suspected when haemodynamic instability occurs following PAE.

Translated title of the contributionColitis necrosis following a pancreatic pseudocyst embolization
Original languageFrench
Pages (from-to)161-163
Number of pages3
JournalAnnales Francaises d'Anesthesie et de Reanimation
Volume26
Issue number2
DOIs
StatePublished - Feb 1 2007

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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