Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus
A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (he...
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| Veröffentlicht in: | Interventional Radiology 2020, Vol.5(2), pp.85-88 |
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| creator | Nakama, Rakuhei Yagami, Toshiaki Kono, Isao Arakawa, Kazukiyo Usui, Koki Kato, Koki Tanimura, Keiichi Honda, Masanori |
| description | A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA. |
| doi_str_mv | 10.22575/interventionalradiology.2020-0002 |
| format | Article |
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An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA.</description><identifier>ISSN: 2432-0935</identifier><identifier>EISSN: 2432-0935</identifier><identifier>DOI: 10.22575/interventionalradiology.2020-0002</identifier><language>eng</language><publisher>Japanese Society of Interventional Radiology</publisher><subject>Case Report ; complication ; hemosuccus pancreaticus ; N-butyl-2-cyanoacrylate ; transcatheter arterial embolization</subject><ispartof>Interventional Radiology, 2020, Vol.5(2), pp.85-88</ispartof><rights>2020 Japanese Society of Interventional Radiology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3422-f738dc7aeacc89680473f5a4c90cb5d79a5da9de926a40ac2b723b2fb12381e93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550426/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550426/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1881,4022,27922,27923,27924,53790,53792</link.rule.ids></links><search><creatorcontrib>Nakama, Rakuhei</creatorcontrib><creatorcontrib>Yagami, Toshiaki</creatorcontrib><creatorcontrib>Kono, Isao</creatorcontrib><creatorcontrib>Arakawa, Kazukiyo</creatorcontrib><creatorcontrib>Usui, Koki</creatorcontrib><creatorcontrib>Kato, Koki</creatorcontrib><creatorcontrib>Tanimura, Keiichi</creatorcontrib><creatorcontrib>Honda, Masanori</creatorcontrib><title>Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus</title><title>Interventional Radiology</title><description>A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA.</description><subject>Case Report</subject><subject>complication</subject><subject>hemosuccus pancreaticus</subject><subject>N-butyl-2-cyanoacrylate</subject><subject>transcatheter arterial embolization</subject><issn>2432-0935</issn><issn>2432-0935</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kU1LxDAQhosoKOp_yFmoppNmu_Ug-K2wqIf1HKbTdDeSbSRJlYo_3taPRQ8eMgnMzDOT902Sg4wfAshCHpk2av-i22hci9ZjbZx1i_4QOPCUcw4byQ7kAlJeCrn5672d7IfwNFZkOZec7yTv911srHtlrmF3adXF3qaQUo-tQ_K9xajZMM6xuNTsAVvyGqMhdtFRPGZzj20gHHLDQuzUD9GgZZerylnzhuN-rHGe3eiVCx1RF34xurCXbDVog97_vneTx6vL-flNOru_vj0_naUkcoC0KcS0pgI1Ek3LyZTnhWgk5lRyqmRdlChrLGtdwgRzjgRVAaKCpspATDNdit3k5Iv73FUrXdOgnEernr1Zoe-VQ6P-ZlqzVAv3okopeQ6TAXD2BSDvQvC6WfdmXH16ov7xRI2eqFFxsf7dU4i40GsE-kEMq_8lSAXj-eGs62mJXulWfABIOa4C</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Nakama, Rakuhei</creator><creator>Yagami, Toshiaki</creator><creator>Kono, Isao</creator><creator>Arakawa, Kazukiyo</creator><creator>Usui, Koki</creator><creator>Kato, Koki</creator><creator>Tanimura, Keiichi</creator><creator>Honda, Masanori</creator><general>Japanese Society of Interventional Radiology</general><general>The Japanese Society of Interventional Radiology</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>2020</creationdate><title>Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus</title><author>Nakama, Rakuhei ; Yagami, Toshiaki ; Kono, Isao ; Arakawa, Kazukiyo ; Usui, Koki ; Kato, Koki ; Tanimura, Keiichi ; Honda, Masanori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3422-f738dc7aeacc89680473f5a4c90cb5d79a5da9de926a40ac2b723b2fb12381e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Case Report</topic><topic>complication</topic><topic>hemosuccus pancreaticus</topic><topic>N-butyl-2-cyanoacrylate</topic><topic>transcatheter arterial embolization</topic><toplevel>online_resources</toplevel><creatorcontrib>Nakama, Rakuhei</creatorcontrib><creatorcontrib>Yagami, Toshiaki</creatorcontrib><creatorcontrib>Kono, Isao</creatorcontrib><creatorcontrib>Arakawa, Kazukiyo</creatorcontrib><creatorcontrib>Usui, Koki</creatorcontrib><creatorcontrib>Kato, Koki</creatorcontrib><creatorcontrib>Tanimura, Keiichi</creatorcontrib><creatorcontrib>Honda, Masanori</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Interventional Radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakama, Rakuhei</au><au>Yagami, Toshiaki</au><au>Kono, Isao</au><au>Arakawa, Kazukiyo</au><au>Usui, Koki</au><au>Kato, Koki</au><au>Tanimura, Keiichi</au><au>Honda, Masanori</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus</atitle><jtitle>Interventional Radiology</jtitle><date>2020</date><risdate>2020</risdate><volume>5</volume><issue>2</issue><spage>85</spage><epage>88</epage><pages>85-88</pages><issn>2432-0935</issn><eissn>2432-0935</eissn><abstract>A 54-year-old Japanese woman, hospitalized for recurrent chronic alcoholic pancreatitis, manifested bloody stools. An esophagogastroduodenoscopy revealed active bleeding from the papilla of Vater. Contrast-enhanced computed tomography (CECT) revealed a pseudoaneurysm in the pancreatic pseudocyst (hemosuccus pancreaticus). Angiography demonstrated pseudoaneurysm of the dorsal pancreatic artery branch. We selected N-butyl-2-cyanoacrylate (NBCA) as an embolus material because of the existing coagulopathy and difficulty in selecting the arterial branch. The administered NBCA outflowed into the pancreatic duct over the pseudoaneurysm. However, transcatheter arterial embolization (TAE) was successful, and no complication or rebleeding was observed after TAE. CECT showed NBCA cast in the pancreatic duct; however, the chronic pancreatitis improved. NBCA may be used to regulate hemosuccus pancreaticus in emergency settings; however, interventional radiologists must carefully consider the complications caused by NBCA.</abstract><pub>Japanese Society of Interventional Radiology</pub><doi>10.22575/interventionalradiology.2020-0002</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central |
| subjects | Case Report complication hemosuccus pancreaticus N-butyl-2-cyanoacrylate transcatheter arterial embolization |
| title | Outflow of N-butyl-2-cyanoacrylate into the Pancreatic Duct: Transcatheter Arterial Embolization for Hemosuccus Pancreaticus |
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