Fig. 13From: Elucidating early CT after pancreatico-duodenectomy: a primer for radiologistsEndovascular treatment of postsurgical pseudoaneurysm in a 77-year-old woman. Three days after PD for pancreatic head adenocarcinoma, emergency CT was performed to investigate abdominal pain, blood from surgical drainage and dropping haemoglobin (>3 g/dL within 12 h). The pseudoaneurysm (black arrow) of the splenic artery depicted by MIP CT reconstruction (a) was confirmed angiographically (b). Embolisation was performed with a “sandwich technique”, placing coils both distally and proximally to the pseudoaneurysm, plus 0.2 ml of glue, due to persistent flow through the coils (c). Final angiogram (d) confirmed complete exclusion of the pseudoaneurysm. Follow-up CT confirmed successfully treated pseudoaneurysm (e) and normal perfusion of the spleen (f) supplied by collateralsBack to article page