Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Sep 25, 2015; 7(13): 1107-1113
Published online Sep 25, 2015. doi: 10.4253/wjge.v7.i13.1107
Endoscopic ultrasound guided thrombin injection of angiographically occult pancreatitis associated visceral artery pseudoaneurysms: Case series
Shivanand Gamanagatti, Usha Thingujam, Pramod Garg, Surajkumar Nongthombam, Nihar Ranjan Dash
Shivanand Gamanagatti, Usha Thingujam, Department of Radiodiagnosis, India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India
Pramod Garg, Surajkumar Nongthombam, Department of Gastroenterology, India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India
Nihar Ranjan Dash, Department of Gastrointestinal Surgery and Transplantation, India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India
Author contributions: Gamanagatti S contributed equally to conception, article design, and image preparation; Thinujam U helped with the literature search and article drafting; Garg P helped to procure the images, and final approval of version of article to be published; Nongthombam S and Dash NR, contributed in critical revision article concept, revision literature search and image preparation.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of the by the All India Institute of Medical Sciences (New Delhi, India).
Informed consent statement: Informed consent for performing the procedure was taken from all patients after explaining the risks and benefits. Regarding consent for the publication was not obtained and also these patients are no longer in communication with us (lost to follow up), hence we here by certify that, all the patient demographic information on images (figures) is hidden (cropped) to maintain confidentiality.
Conflict-of-interest statement: The authors have nothing to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Shivanand Gamanagatti, MD, Additional Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, Room no 81-B, Ansari Nagar, New Delhi 110029, India. shiv223@gmail.com
Telephone: +91-11-26594567 Fax: +91-11-26588500
Received: March 29, 2015
Peer-review started: March 29, 2015
First decision: May 13, 2015
Revised: May 24, 2015
Accepted: August 30, 2015
Article in press: August 31, 2015
Published online: September 25, 2015
Processing time: 179 Days and 16.7 Hours
Core Tip

Core tip: In cases where angiographic coil embolization is not feasible due to technical reasons, thrombin injection via computed tomography or ultrasound guidance remains a viable option. Endoscopic ultrasound guided thrombin injection is a new development in this realm especially in those patients where the visualization of the pseudoaneurysm is difficult on transabdominal ultrasound thereby avoiding the need of surgery and the associated morbidity.