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Case Reports
. 2017 Dec 27;4(1):8-11.
doi: 10.1016/j.jvscit.2017.11.001. eCollection 2018 Mar.

Migrated embolization coil causes intestinal obstruction

W Preston Hewgley  1 , David L Webb  1 , H Edward Garrett Jr  1
Affiliations
Case Reports

Migrated embolization coil causes intestinal obstruction

W Preston Hewgley et al. J Vasc Surg Cases Innov Tech. .

Abstract

Visceral artery pseudoaneurysm is a rare, potentially fatal entity, but proper identification and management with coil embolization can lead to good outcomes. Embolization coils can migrate to various destinations, causing delayed complications in several case reports. A case of small bowel obstruction due to migrated embolization coils from a gastroduodenal pseudoaneurysm 6 years after initial treatment is presented.

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Figures

Fig 1
Fig 1
Computed tomography depicts a visceral artery pseudoaneurysm (VAP) in the region of the gastroduodenal artery (GDA).
Fig 2
Fig 2
A, Angiography reveals gastroduodenal artery (GDA) pseudoaneurysm with contained rupture. Angiography after repeated coil embolization demonstrates no flow in the visceral artery pseudoaneurysm (VAP) with injection through the common hepatic artery (B) and superior mesenteric artery (C).
Fig 3
Fig 3
Computed tomography shows massively dilated small bowel and foreign body in the right lower quadrant.
Fig 4
Fig 4
Computed tomography scan at time of delayed bowel obstruction reveals small number of residual coils in visceral artery pseudoaneurysm (VAP) with no evidence of residual VAP or cavity.
Fig 5
Fig 5
Cluster of embolization coils removed at operation.
See this image and copyright information in PMC

References

    1. Carroccio A., Jacobs T.S., Faries P., Ellozy S.H., Teodorescu V.J., Ting W. Endovascular treatment of visceral artery aneurysms. Vasc Endovascular Surg. 2007;41:373–382. - PubMed
    1. Nicholson A.A., Patel J., McPherson S., Shaw D.R., Kessel D. Endovascular treatment of visceral aneurysms associated with pancreatitis and a suggested classification with therapeutic implications. J Vasc Interv Radiol. 2006;17:1279–1285. - PubMed
    1. Pitton M.B., Dappa E., Jungmann F., Kloeckner R., Schotten S., Wirth G.M. Visceral artery aneurysms: incidence, management, and outcome analysis in a tertiary care center over one decade. Eur Radiol. 2015;25:2004–2014. - PMC - PubMed
    1. Tessier D.J., Stone W.M., Fowl R.J., Abbas M.A., Andrews J.C., Bower T.C. Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literature. J Vasc Surg. 2003;38:969–974. - PubMed
    1. de Perrot M., Berney T., Deléaval J., Bühler L., Mentha G., Morel P. Management of true aneurysms of the pancreaticoduodenal arteries. Ann Surg. 1999;229:416. - PMC - PubMed

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