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British Journal of Radiology (2009) 82, e11-e14
© 2009 British Institute of Radiology
doi: 10.1259/bjr/92246530
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Acute necrotizing pancreatitis following inadvertent extensive splenic artery embolisation for trauma

R L HAMERS, MD 1 F G VAN DEN BERG, MD 2 and A B J GROENEVELD, MD, PhD, FCCP, FCCM 1

Departments of 1 Intensive Care and 2 Radiology, VU University Medical Center (VUMC), Amsterdam, The Netherlands


Figure 1
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  		Figure 1. Transverse abdominal CT scan performed pre-intervention shows active intraparenchymatous bleeding (arrow).

 

Figure 2
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  		Figure 2. Transverse abdominal CT scan performed pre-intervention shows subcapsular contrast-enhanced blood in the spleen and some subcapsular fluid along the edge of segment 6 of the liver (after administration of contrast).

 

Figure 3
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  		Figure 3. Splenic arteriogram obtained during splenic artery embolisation(SAE) shows the localization of the coils in the tortuous SA after intended proximal embolisation and inadvertent distal embolisation (arrows).

 

Figure 4
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  		Figure 4. Transverse abdominal CT scan performed post-intervention shows the coils and peripancreatic infiltration and necrosis of the tail of the pancreas (arrows).

 

Figure 5
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  		Figure 5. Transverse abdominal CT scan performed post-intervention shows the necrotizing pancreatitis at a more caudal position (arrow).

 




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