Distal Pancreatic Necrosis After Splenic Angioembolization.

Authors

Rachel Yoo, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USA.Follow
Michael D Gaziano
Vicente Cortes, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USAFollow
Nikunj Chauhan, Department of Interventional Radiology, Reading Hospital, 419713Tower Health System, Reading, PA, USA.Follow
Kurt Bamberger, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USAFollow
Eugene Reilly, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USAFollow
Thomas A Geng, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USAFollow
Christopher Butts, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USAFollow
Adrian Ong, Department of Surgery, Division of Acute Care Surgery/Trauma, Reading Hospital, 419713Tower Health System, Reading, PA, USAFollow

Document Type

Article

Publication Date

7-2023

Abstract

Pancreatic ischemia with necrosis is an extremely rare complication of splenic angioembolization (SAE). A 48-year-old male with a grade IV blunt splenic injury underwent angiography which demonstrated no active bleeding or pseudoaneurysm. Proximal SAE was performed. One week later, he developed severe sepsis. Repeat CT imaging showed nonperfusion of the distal pancreas, and laparotomy found necrosis of approximately 40% of the pancreas. Distal pancreatectomy and splenectomy were performed. He endured a prolonged hospital course with multiple complications. Clinicians should have a high index of suspicion for ischemic complications after SAE when sepsis develops.

Publication Title

The American surgeon

Volume

89

Issue

7

First Page

3212

Last Page

3213

Recommended Citation

Yoo, R., Gaziano, M., Cortes, V., Chauhan, N., Bamberger, K., Reilly, E., Geng, T., Butts, C., & Ong, A. (2023). Distal Pancreatic Necrosis After Splenic Angioembolization.. The American surgeon, 89 (7), 3212-3213. https://doi.org/https://doi.org/10.1177/00031348231157839