Endovascular pseudoaneurysm repair after distal pancreatectomy with celiac axis resection

Figure 2 Imaging findings before and after endovascular treatment for the pseudoaneurysm. A: Computed tomography (CT) image indicating formation of an intra-abdominal abscess around the remnant pancreas head (arrow) with an occluded portal vein due to the spreading inflammation around the abscess (dotted circle); B: CT image showing the pseudoaneurysm emerging from the common hepatic artery (CHA) stump (black arrow). The white arrow shows the occluded right portal vein; C: Angiography image confirming the pseudoaneurysm emerging from the CHA stump (arrow); D: Covered stent placement (arrows) performed via the IPDA (dotted arrow) originating from the superior mesenteric artery (SMA); E: CT angiography image at the 6-mo follow-up showing the patent covered stent (arrows) and sustained hepatic artery flow. IPDA: inferior pancreaticoduodenal artery; PHA: proper hepatic artery.