ABSTRACT
Acute necrotising pancreatitis is connected with a high complication rate. The most serious ones are hemorrhagic complications with bleeding from vascular structures erosions. Authors report a case of endovascular treatment of surgically untreatable lesion of portal vein. In this case stentgraft was successfully implanted to cover the erosion and stop the bleeding. Percutaneous transhepatic route was used.
Subject(s)
Hemorrhage/surgery , Hemostasis, Surgical , Pancreatitis, Acute Necrotizing/complications , Portal Vein , Adult , Blood Vessel Prosthesis Implantation , Hemorrhage/diagnosis , Hemorrhage/etiology , Humans , Male , StentsABSTRACT
The authors present the case-history of a patient with multiple injuries where the dominating injury was haemorrhage into the retroperitoneum and subsequently into the abdominal cavity. The solution after CT and sonographic diagnosis was laparoscopy and subsequent arteriography with embolization. The authors consider the described procedures as the most suitable one in the given case.
Subject(s)
Hemorrhage/therapy , Multiple Trauma , Retroperitoneal Space , Angiography , Embolization, Therapeutic , Hemorrhage/diagnostic imaging , Hemorrhage/etiology , Humans , Laparoscopy , Male , Middle AgedABSTRACT
Indication for conservative treatment in the blunt injuries of the liver and the spleen have been recently significantly extended. On the example of the case histories and discussion in the literature the authors specify the necessary conditions, difficulties and results of this procedure. Key words: conservative treatment, injury of the liver, injury of the spleen.
