Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492010005000003
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular de hemorragia secundária a lesão da artéria esplênica na pancreatite aguda: relato de caso

Endovascular treatment of hemorrhage due to splenic artery injury in acute pancreatitis: case report

Alexandre de Tarso Machado; Ricardo Jayme Procópio; Franco Antônio Cordeiro Neves; Giovanni Menezes Santos; Marcelo Gomes Girundi; Cristina Toledo Afonso; Tulio Pinho Navarro

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Resumo

A lesão arterial esplênica é uma rara complicação relacionada a situações como trauma, lesão iatrogênica e pancreatite. Hemostasia pode ser feita por identificação do foco do sangramento através de cateterismo seletivo seguido por embolização do ramo sangrante. Relata-se caso clínico de um paciente portador de pancreatite biliar que apresentou, durante procedimento de necrosectomia, hemorragia decorrente da ruptura da artéria esplênica, sendo, então, tratado com sucesso por embolização supersseletiva.

Palavras-chave

Pancreatite, hemorragia, embolização

Abstract

Splenic artery injury is a rare complication related to trauma, iatrogenic injury, and pancreatitis. Hemostasis can be made by identification of the vascular lesion through selective catheterism followed by embolization of the bleeding vessel. We report a case of a patient with biliary pancreatitis, who presented hemorrhage due to rupture of the splenic artery during a necrosectomy procedure and was successfully treated with selective embolization.

Keywords

Pancreatitis, hemorrhage, embolization

References

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