1.Treatment of Recurrent Pancreatic Pseudocysts with Proven Communication between Pseudocyst and Pancreatic Duct by Long-term Percutaneous Drainage.
Enver ZEREM ; Bilal IMŠIROVIĆ ; Svjetlana LOGA-ZEC ; Suad KUNOSIĆ ; Ahmed HUJDUROVIĆ ; Omar ZEREM
Annals of the Academy of Medicine, Singapore 2015;44(11):542-544
Adult
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Catheters, Indwelling
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Drainage
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methods
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Female
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Humans
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Male
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Middle Aged
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Pancreatic Ducts
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Pancreatic Pseudocyst
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etiology
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surgery
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Pancreatitis
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complications
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Prospective Studies
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Recurrence
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Time Factors
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Treatment Outcome
2.Clinical Features of Pseudoaneurysms Complicating Pancreatitis: Single Center Experience and Review of Korean Literature.
Ji Hyun KIM ; Jae Seon KIM ; Chang Duck KIM ; Hong Sik LEE ; Young Jig CHO ; Jong Sup LEE ; Do Won CHOI ; Woo Sik HAN ; Youn Ho KIM ; Jong Eun YEON ; Jong Jae PARK ; Kwan Soo BYUN ; Young Tae BAK
The Korean Journal of Gastroenterology 2007;50(2):108-115
BACKGROUND/AIMS: Pseudoaneurysm is a life-threatening complication of chronic or acute pancreatitis. This study was undertaken to evaluate the clinical features of pseudoaneurysm complicating pancreatitis. METHODS: We reviewed the medical records of 7 patients diagnosed as pseudoaneurysms with chronic pancreatitis in Korea University Guro and Anam Hospital from January 1995 to March 2006 and analyzed their demographics, clinical courses and outcomes. RESULTS: All patients were men and mean age was 54.6 years (range, 43-67 years). All the cases occurred in the setting of chronic alcoholic pancreatitis complicated by pseudocyst. Abdominal pain was the unique initial clinical symptom in 5 cases, hematemesis in 1 case, and simultaneous abdominal pain with hematemesis in 1 case. Bleeding into pseudocyst developed in 5 cases, flowing into duodenum through pancreatic duct in 1 case and rupture into the descending colon in 1 case. Mean duration between onset of symptom and diagnosis of pseudoaneurysm was 7.8 days (range, 1-23 days). Six cases were diagnosed by abdominal computed tomography disclosing characteristic finding of focal high density area in the pseudocyst. Pulsed doppler abdominal sonography was performed before computed tomography in 3 cases and results were negative in 2 cases. Transcatheter arterial embolizations were initially performed in 6 cases, and there was no recurrent bleeding except one case of splenic infarction. Distal pancreatectomy was initially performed in 1 case. CONCLUSIONS: Pseudoaneurysms complicating chronic pancreatitis shows various clinical features. Transcatheter arterial embolization can be recommended as a primary therapeutic modality.
Adult
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Aged
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Aneurysm, False/*diagnosis/etiology/ultrasonography
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Arteries/injuries
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Demography
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Embolization, Therapeutic
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Hemorrhage/etiology/surgery
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Humans
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Korea
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Male
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Middle Aged
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Pancreatic Pseudocyst/etiology/surgery
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Pancreatitis, Alcoholic/*complications/pathology
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Retrospective Studies
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Tomography, X-Ray Computed