Migrated embolization coil causes intestinal obstruction

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Presentation transcript:

Migrated embolization coil causes intestinal obstruction W. Preston Hewgley, David L. Webb, MD, H. Edward Garrett, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 1, Pages 8-11 (March 2018) DOI: 10.1016/j.jvscit.2017.11.001 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 Computed tomography depicts a visceral artery pseudoaneurysm (VAP) in the region of the gastroduodenal artery (GDA). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 8-11DOI: (10.1016/j.jvscit.2017.11.001) Copyright © 2017 The Author(s) Terms and Conditions

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). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 8-11DOI: (10.1016/j.jvscit.2017.11.001) Copyright © 2017 The Author(s) Terms and Conditions

Fig 3 Computed tomography shows massively dilated small bowel and foreign body in the right lower quadrant. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 8-11DOI: (10.1016/j.jvscit.2017.11.001) Copyright © 2017 The Author(s) Terms and Conditions

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. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 8-11DOI: (10.1016/j.jvscit.2017.11.001) Copyright © 2017 The Author(s) Terms and Conditions

Fig 5 Cluster of embolization coils removed at operation. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 8-11DOI: (10.1016/j.jvscit.2017.11.001) Copyright © 2017 The Author(s) Terms and Conditions