Abstract Archives of the RSNA, 2014
GIE123
Spectrum of Visceral Artery Pseudoaneurysms due to Various Etiologies Diagnosed on MDCT Abdominal Angiography
Education Exhibits
Presented in 2014
Cum Laude
Jigar Vasantlal Zota MBBS, Abstract Co-Author: Nothing to Disclose
Samarjit Singh Ghuman MBBS, MD, Presenter: Nothing to Disclose
Tarvinder Bir Singh Buxi MD, Abstract Co-Author: Nothing to Disclose
Kishen Singh Rawat MBBS, MD, Abstract Co-Author: Nothing to Disclose
Anurag Yadav MBBS, Abstract Co-Author: Nothing to Disclose
• Visceral artery pseudoaneurysms(VAPA) are a frequent cause of sudden onset intra-abdominal hemorrhage.
• A spectrum of various etiologies like iatrogenic, pancreatitis, trauma, tumors, vasculitis etc. can lead to VAPAs.
• MDCT Angiography is the modality of choice for the diagnosis of affected artery, assessing underlying etiology and planning further intervention.
• Varying etiologies can often lead to varying imaging parameters in VAPAs.
Firstly, we briefly discuss the epidemiology of visceral artery pseudoaneurysms(VAPA).
Then, we discuss MDCT abdominal angiography protocol and imaging reconstruction manipulations.
Further, a case based review of VAPA secondary to various etiologies are discussed, including
LGA PA secondary to pancreatitis
RHA PA at the margin of a hepatic abscess
Splenic artery PA due to large pancreatic mass
Post Whipples’ surgery GDA stump blow-out PA
Post laparoscopic cholecystectomy cystic artery blow-out PA
RHA PA secondary to acute cholecystitis
Renal artery PA post PCNL
Middle colic artery PA post pancreatitis
Renal artery PA due to angiomyolipoma
Post trauma RHA PA
Post trauma splenic stump blow out PA
RHA PA due to hepatoblastoma
Ruptured GDA PA post pancreatitis
We close with few take home messages.
http://abstract.rsna.org/uploads/2014/14012689/14012689_3ut7.pdf
Zota, J,
Ghuman, S,
Buxi, T,
Rawat, K,
Yadav, A,
Spectrum of Visceral Artery Pseudoaneurysms due to Various Etiologies Diagnosed on MDCT Abdominal Angiography. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14012689.html