Successful interventional radiological management of postoperative complications of laparoscopic distal pancreatectomy

Figure 1 Computed tomography. A: Distal pancreatic tumor; B: Hydrops adjacent to the pancreatic stump; C: A pigtail catheter (percutaneous catheter drainage tube 1) was placed into the left anterior pararenal space under computed tomography (CT) guidance; D: Abdominal contrast-enhanced CT revealed extravasation of contrast medium adjacent to the pancreatic stump.

Figure 2 Celiac trunk angiography. A: Celiac trunk angiography revealed pseudoaneurysm of the splenic artery; B: Celiac trunk angiography revealed no extravasation of contrast medium after embolization of the splenic artery with microcoils.

Figure 3 Examination. A: Contrast-enhanced abdominal computed tomography revealed a peripancreatic effusion; B: Multiple focal ischemic lesions of the spleen; C: A pigtail catheter (percutaneous catheter drainage tube 2) was placed to drain the peripancreatic fluid collection; D: Absorption of the peripancreatic effusion.

Figure 4 Encapsulated fluid collection anterior to the pancreatic stump.

Figure 5 A pigtail catheter (percutaneous catheter drainage tube 3) was placed anterior to the pancreatic stump to drain the effusion. A: Percutaneous catheter drainage (PCD) tube 3; B: PCD tubes 1 and 3.