Visceral artery pseudoaneurysms in necrotizing pancreatitis: risk of early bleeding with lumen-apposing metal stents

Post written by Guru Trikudanathan, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. Visceral artery pseudoaneurysm (PSA) after necrotizing pancreatitis (NP) arises from enzymatic degradation of the arterial wall by the pancreatic enzymes or infection, direct erosion by necrosis, or traumatic injury to small arteries during interventions resulting …

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EUS-guided coiling of hepatic artery pseudoaneurysm in 2 stages

Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 20-year-old man presented with right-upper quadrant abdominal pain for 2 months. He had undergone Ultrasound (US)-guided aspiration of a liver abscess 2 months previous. US of the abdomen showed a hepatic artery aneurysm. CT angiography (abdomen) confirmed …

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Pulsating pseudoaneurysm in a walled-off necrosis

Shuntaro Mukai from the Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan describes this VideoGIE case "Pulsating pseudoaneurysm in a walled-off necrosis." Our video case describes a pulsating pseudoaneurysm in the cavity of a walled-off necrosis (WON) diagnosed by endoscopy through a fully-covered biflanged metal stent (BFMS). Subsequently, the pseudoaneurysm was …

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