TRANSCATHETER EMBOLIZATION OF CELIAC ARTERY PSEUDOANEURYSM FOLLOWING PANCREATICO-DUODENECTOMY FOR PANCREATIC-CANCER - A CASE-REPORT

A case of transcatheter embolization of a celiac artery pseudoaneurysm in a 70-year-old man is reported. The pseudoaneurysm was considered t o be the result of pancreatic anastomotic leakage and an intra-abdomin al abscess following pancreaticoduodenectomy with irradiation of 66 Gy for pancreatic carcinoma. To avoid recanalization of the pseudoaneury sm due to retrograde blood flow, first all branches of the celiac arte ry were embolized with metallic coils, and then the celiac trunk was a lso occluded. Hepatic arterial flow was preserved by the right hepatic artery arising from the superior mesenteric artery. After the procedu re, the patient had no noticeable complications associated with the em bolization nor any recurrence of the pancreatic cancer, and he achieve d a 2-year survival.