Endoscopic retrograde cholangiopancreatography in a patient with a large abdominal aortic aneurysm
Keywords:
aneurysm of the abdominal aorta, endoscopic retrograde cholangiopancreatography, ampuloma.Abstract
Introduction: The abdominal aortic aneurysm is a disease that usually occurs asymptomatically, associated with high mortality when it ruptures. Risk factors associated with the natural history of this condition are described. The performance of endoscopic therapeutic procedures, such as endoscopic retrograde cholangiopancreatography, has been controversial; Although it is not established as a contraindication, it presupposes a high risk.Objective: To present a patient with an abdominal aortic aneurysm, with high surgical risk to perform an endoscopic retrograde cholangiopancreatography.
Clinical case: A patient with a large abdominal aortic aneurysm and clinical suspicion of an ampuloma is presented. Endoscopic therapy was performed using endoscopic retrograde cholangiopancreatography, with some variations in the procedure. Successful drainage of the main bile duct was achieved without complications.
Conclusions: The therapy carried out was an option, but with a very high risk.
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References
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3. Plain Pazos C, Gonzalez Lastre M, Clavero Ojeda Z. Aneurisma aórtico abdominal roto como causa de disociación electromecánica. Rev Medicentro Electrónica.2018 [acceso: 21/02/2020];22(1):[aprox. 5 p.]. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432018000100015
4. Celso Ardengh J, Kemp R, Rios Lima-Filho E, Sebastião dos Santos J. Endoscopic papillectomy: The limits of the indication, technique and results. World J Gastrointest Endosc. 2015[acceso: 21/02/2020]; 7(10):987-94. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530332/
5. Laza Revolt JJ, Linares Cánovas LB, Linares Montano A, Macías Romero LA, Armenteros Conill A. Caracterización de un grupo de pacientes con aneurisma de la aorta abdominal. Univ Méd Pinareña. 2019 [acceso: 05/03/2020];15(1):38-47. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=86383
6. Zúñiga Reyes A, Rojas Mazaira L, Vilalta Alonso G, Montesinos Otero ME, Pinto Ortiz J, Rodríguez Madrigal M, et al. Evaluación del riesgo de ruptura de aneurismas de aorta abdominal personalizados mediante factores biomecánicos. Ingeniería Mecánica. 2014 [acceso 21/02/2020]; 17(2):157-67. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1815-59442014000200007
7. Salvador González B, Martín Baranera M, Borque Ortega A, Sáez-Sáez RM, de Albert Delas Vigo M, Carreño García E, et al. Prevalence of Abdominal Aortic Aneurysm in Men Aged 65 - 74 Years in a Metropolitan Area in North-East Spain. Eur J Vasc Endovasc Surg. 2016[acceso: 21/02/2020]; 52:75-81. Disponible en: https://www.ejves.com/article/S1078-5884(16)30039-9/pdf
8. Chiang N, Jain JK, Hulme KR, Vasudevan T. Epidemiology and Outcomes of Abdominal Aortic Aneurysms in New Zealand: A 15-year Experience at a Reginal Hospital. Ann Vasc Surg. 2017[acceso: 21/02/2020];46:274-84. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28739467
9. Schermerhorn ML, Buck DB, O'Malley AK, Curran T, McCallum JC, Darling J, et al. Long-Term Outcomes of Abdominal Aortic Aneurysm in the Medical Population. N Engl J Med. 2015[acceso: 21/02/2020]; 373(4):328-38. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26200979
10. Vilalta G, Nieto F, Vaquero C. Quantitative indicator of abdominal aortic aneurysm rupture risk based on its geometric parameters. International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering. 2010[acceso: 11/11/2019]; 4:181-5. Disponible en: https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.190.7575&rep-=rep1&type=pdf
11. Kanamori A, Kiriyama S, Tanitawa M, Hisanaga Y, Toyoda H, Tada T, et al. Long and short term autcomes of ERCP for bile duct stones in patients over 80 years old compared to younger patients: a propenssity score analysis. Endosc Int Open. 2016[acceso: 11/11/2019];4(1):83-90. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4713177/
12. Ukkonen M, Siiki A, Antila A, Tyrvainen T. Safety and efficacy of acute endoscopic retrograde cholangiopancreatic in the elderly. Digestive disease and science. 2016[acceso: 01/03/2020]; 61:3302-8. Disponible en: https://doi.org/10.1007/s10620-016-4283-2
13. Guidi M, Hwang HJ, Curvale C, Souto G, Ragone JM, Promenzio E, Matano R. Calidad y competencia en colangiografía endoscópica. Rumbo a lo seguro. Acta Gastroenterol Latinoam. 2015[acceso: 11/11/2019]; 45(1):37-45. Disponible en: https://www.redalyc.org/pdf/1993/199336842010.pdf
Published
2021-02-27
How to Cite
1.
Descalzo García Y, Martinez Romero M, Amable Díaz T, Martínez Leyva L, Oliva Rey JC, Yanes Sicard A. Endoscopic retrograde cholangiopancreatography in a patient with a large abdominal aortic aneurysm. Rev Cubana Med Milit [Internet]. 2021 Feb. 27 [cited 2025 Apr. 3];50(1):e0210732. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/732
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