دورية أكاديمية
Distal Pancreatic Necrosis After Splenic Angioembolization.
العنوان: | Distal Pancreatic Necrosis After Splenic Angioembolization. |
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المؤلفون: | Yoo R; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA., Gaziano MD; Drexel University College of Medicine, Philadelphia, PA, USA., Cortes V; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA., Chauhan N; Department of Interventional Radiology, Reading Hospital, Tower Health System, Reading, PA, USA., Bamberger PK; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA., Reilly EF; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA., Geng T; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA., Butts CA; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA., Ong A; Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, Tower Health System, Reading, PA, USA. |
المصدر: | The American surgeon [Am Surg] 2023 Jul; Vol. 89 (7), pp. 3212-3213. Date of Electronic Publication: 2023 Feb 17. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
مواضيع طبية MeSH: | Pancreatitis, Acute Necrotizing*/diagnostic imaging , Pancreatitis, Acute Necrotizing*/etiology , Pancreatitis, Acute Necrotizing*/therapy , Embolization, Therapeutic*/adverse effects , Embolization, Therapeutic*/methods , Sepsis* , Wounds, Nonpenetrating*/complications , Wounds, Nonpenetrating*/therapy, Male ; Humans ; Middle Aged ; Spleen/diagnostic imaging ; Spleen/injuries ; Splenectomy ; Pancreas ; Splenic Artery/diagnostic imaging ; Splenic Artery/injuries ; Retrospective Studies |
مستخلص: | Pancreatic ischemia with necrosis is an extremely rare complication of splenic angioembolization (SAE). A 48-year-old male with a grade IV blunt splenic injury underwent angiography which demonstrated no active bleeding or pseudoaneurysm. Proximal SAE was performed. One week later, he developed severe sepsis. Repeat CT imaging showed nonperfusion of the distal pancreas, and laparotomy found necrosis of approximately 40% of the pancreas. Distal pancreatectomy and splenectomy were performed. He endured a prolonged hospital course with multiple complications. Clinicians should have a high index of suspicion for ischemic complications after SAE when sepsis develops. |
فهرسة مساهمة: | Keywords: angioembolization; blunt splenic injury; pancreatic necrosis |
تواريخ الأحداث: | Date Created: 20230221 Date Completed: 20230731 Latest Revision: 20230731 |
رمز التحديث: | 20240628 |
DOI: | 10.1177/00031348231157839 |
PMID: | 36803024 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1555-9823 |
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DOI: | 10.1177/00031348231157839 |