ASGE DDW Videos from Around the World | 2022-EUS GUIDED THROMBIN INJECTION OF A PSEUDO AND TRUE ANEURYSM OF A BRANCH OF SPLENIC ARTERY

EUS GUIDED THROMBIN INJECTION OF A PSEUDO AND TRUE ANEURYSM OF A BRANCH OF SPLENIC ARTERY

Video Transcription

Video Summary

This video summary discusses a case of a 64-year-old male patient who presented with abdominal pain. The patient had a history of prior surgeries and was diagnosed with polyarthritis nodosa. Imaging revealed the presence of a pseudoaneurysm in the body of the pancreas and a true aneurysm in the liver. Due to the high risk of rupture, the decision was made to manage the pancreatic pseudoaneurysm. Endoscopic ultrasound was used to identify and thrombin injection was performed to obliterate the pseudoaneurysm. Follow-up imaging showed successful thrombosis of the pseudoaneurysm. The patient experienced clinical improvement and was discharged in stable condition.

Keywords

abdominal pain

polyarthritis nodosa

pseudoaneurysm

pancreas

thrombin injection