Pseudoaneurisma asociado a pseudoquiste pancreático complicado / Pseudoaneurysm associated with complicated pancreatic pseudocysts
Rev. esp. enferm. dig
; 108(9): 583-585, sept. 2016. ilus
Article
in Spanish
| IBECS
| ID: ibc-156134
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
El pseudoaneurisma asociado a pseudoquiste es una complicación grave e infrecuente de la pancreatitis crónica. Su tratamiento es complejo por su elevada mortalidad y la necesidad de un manejo multidisciplinar. La medida inicial consiste en la localización de la hemorragia mediante tomografía computarizada dinámica y arteriografía. El tratamiento de elección es controvertido por la ausencia de estudios controlados. Para el manejo de la hemorragia en pacientes estables, la medida terapéutica inicial más aceptada actualmente es la embolización arterial. Ante fracaso de la misma, inestabilidad hemodinámica o imposibilidad de drenaje del pseudoquiste la cirugía es la siguiente opción terapéutica (AU)
ABSTRACT
A pseudoaneurysm associated with a pseudocyst is a serious and unusual complication of chronic pancreatitis. Its treatment is complex due to its elevated mortality and the need for multidisciplinary management. Initial measures consist in locating the hemorrhage through computerized dynamic tomography and arteriography. The treatment of choice is controversial due to the lack of controlled studies. For managing hemorrhages in stable patients, the most accepted initial measure currently is arterial embolization. In the event of failure of the same, hemodynamic instability or the impossibility of drainage of the pseudocyst, surgery is the subsequent therapeutic option(AU)
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
Database:
IBECS
Main subject:
Pancreatic Pseudocyst
/
Aneurysm, False
/
Pancreatitis, Chronic
Type of study:
Etiology study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. esp. enferm. dig
Year:
2016
Document type:
Article
Institution/Affiliation country:
Consorcio Hospital General Universitario de Valencia/España