4 . 2019

Embolization of the celiac trunk in recurrent intraperitoneal bleeding

Abstract

Pancreatogenic artery arrosion can lead to life-threatening bleeding. This condition requires a multidisciplinary approach both at the stage of diagnosis and treatment. The main diagnostic methods are computed tomography with intravenous contrast enhancement and direct selective angiography. Emergency open surgical treatment is indicated for patients with unstable hemodynamics, and stable patients are advised to attempt endovascular intervention on the affected vessel. This article presents a clinical case of endovascular embolization of the celiac trunk in a patient with recurrent intra-abdominal bleeding after several stages of surgical treatment. Pancreatogenic arrosive bleeding occurred several days after performing resection of the pancreas, which was performed as a stage of removal of the cholangiocarcinoma of porta hepatis. In subsequent surgical interventions for recurrent bleeding, the common hepatic and splenic arteries were ligated, and then endovascular embolization of the celiac trunk with the AVP II occlude was performed. In the subsequent period recurrence of bleeding was not observed, the patient was discharged in a satisfactory condition 30 days after the endovascular intervention.

Keywords:intraperitoneal bleeding; embolization; celiac trunk; pancreatogenic artery arrosion

For citation: Popov M.V., Voskanyan S.E., Dunaev A.P., Bashkov A.N., Aronov M.S., Rudakov V.S., Sheikh Zh.V. Embolization of the celiac trunk in recurrent intraperitoneal bleeding. Clin Experiment Surg. Petrovsky J. 2019; 7 (4): 63–71. doi: 10.24411/2308-1198-2019-14008 (in Russian)
Received 10.06.2019. Accepted 31.10.2019.

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