Mistakes in ... Booklet 2020 - 28

ueg education

if renal function allows contrast injection
(figure 10).
Additional vascular abnormalities that should
not be neglected include peripancreatic arterial
pseudoaneurysms, which may develop as a
complication of acute pancreatitis or pancreatic
surgery, and the locations most frequently involved
are the splenic artery (60%) and the hepatic
artery (20%).11 On contrast-enhanced CT, a
pseudoaneurysm appears as an oval or round
lesion with similar enhancement to the
abdominal aorta. Diagnosis of pseudoaneurysms
is crucial to allow prompt management by
angiography, as they may otherwise lead to
potentially fatal bleeding.
References
1. Harrington KA, Shukla-Dave A, Paudyal R, et al.
MRI of the pancreas. J Magn Reson Imaging
Epub ahead of print April 17, 2020. DOI: 10.1002/
jmri.27148.
2. Zamboni GA, Ambrosetti MC, Pezzullo M, et al.
Optimum imaging of chronic pancreatitis. Abdom
Radiol (NY) 2020; 45: 1410-1419.
3. Yam BL and Siegelman ES. MR imaging of the biliary
system. Radiol Clin North Am 2014; 52: 725-755.
4. Brunt LM, Deziel DJ, Telem DA, et al. Safe
cholecystectomy multi-society practice guideline and
state of the art consensus conference on prevention
of bile duct injury during cholecystectomy.
Ann Surg 2020; 272: 3-23.
5. Rhaiem R, Piardi T, Renard Y, et al. Preoperative
magnetic resonance cholangiopancreatography
before planned laparoscopic cholecystectomy: is it
necessary? J Res Med Sci 2019; 24: 107.
6. Katabathina VS, Dasyam AK, Dasyam N, et al. Adult
bile duct strictures: role of MR imaging and MR
cholangiopancreatography in characterization.
Radiographics 2014; 34: 565-586.
7. Novikov A, Kowalski TE and Loren DE. Practical
management of indeterminate biliary strictures.
Gastrointest Endosc Clin N Am 2019; 29: 205-214.
8. Seo N, Kim SY, Lee SS, et al. Sclerosing cholangitis:
clinicopathologic features, imaging spectrum, and
systemic approach to differential diagnosis. Korean J
Radiol 2016; 17: 25-38.
9. Kamisawa T, Zen Y, Nakazawa T, et al. Advances in
IgG4-related pancreatobiliary diseases. Lancet
Gastroenterol Hepatol 2018; 3: 575-585.
10. Fernandez YVM and Arvanitakis M. Early diagnosis and
management of malignant distal biliary obstruction: a
review on current recommendations and guidelines.
Clin Exp Gastroenterol 2019; 12: 415-432.
11. Vernuccio F, Borhani AA, Dioguardi Burgio M, et al.
Common and uncommon pitfalls in pancreatic
imaging: it is not always cancer. Abdom Radiol (NY)
2016; 41: 283-294.
12. Klauss M, Maier-Hein K, Tjaden C, et al. IVIM DW-MRI
of autoimmune pancreatitis: therapy monitoring and
differentiation from pancreatic cancer. Eur Radiol
2016; 26: 2099-2106.
13. Lee NJ, Hruban RH and Fishman EK. Pancreatic
neuroendocrine tumor: review of heterogeneous
spectrum of CT appearance. Abdom Radiol (NY) 2018;
43: 3025-3034.
14. Renno A, Hill M, Abdel-Aziz Y, et al. Diagnosis of
intrapancreatic accessory spleen by endoscopic
ultrasound-guided fine-needle aspiration
mimicking a pancreatic neoplasm: a case report
and review of literature. Clin J Gastroenterol 2020;
13: 287-297.
15. Coquia SF, Kawamoto S, Zaheer A, et al.
Intrapancreatic accessory spleen: possibilities of
computed tomography in differentiation from
nonfunctioning pancreatic neuroendocrine tumor.
J Comput Assist Tomogr 2014; 38: 874-878.
16. Bronstein YL, Loyer EM, Kaur H, et al. Detection of
small pancreatic tumors with multiphasic helical CT.
AJR Am J Roentgenol 2004; 182: 619-623.

Mistakes in... 2020
17. Prokesch RW, Chow LC, Beaulieu CF, et al.
Local staging of pancreatic carcinoma with
multi-detector row CT: use of curved planar
reformations initial experience. Radiology 2002;
225: 759-765.
18. Wang W, Shpaner A, Krishna SG, et al. Use of EUSFNA in diagnosing pancreatic neoplasm without a
definitive mass on CT. Gastrointest Endosc 2013;
78: 73-80.
19. Yu J, Turner MA, Fulcher AS, et al. Congenital
anomalies and normal variants of the
pancreaticobiliary tract and the pancreas in adults:
Part 2, pancreatic duct and pancreas. AJR Am J
Roentgenol 2006; 187: 1544-1553.
20. Crippa S, Arcidiacono PG, De Cobelli F, et al. Review of
the diagnosis and management of intraductal

papillary mucinous neoplasms. United European
Gastroenterol J 2020; 8: 249-255.
21. Arvanitakis M, Dumonceau JM, Albert J, et al.
Endoscopic management of acute necrotizing
pancreatitis: European Society of Gastrointestinal
Endoscopy (ESGE) evidence-based multidisciplinary
guidelines. Endoscopy 2018; 50: 524-546.
22. Keil R, Kozeluhova J, Dolina J, et al. Acute portal vein
thrombosis in noncirrhotic patients different
prognoses based on presence of inflammatory
markers: a long-term multicenter retrospective
analysis. Scand J Gastroenterol 2019; 54: 1379-1384.
23. Junare PR, Udgirkar S, Nair S, et al. Splanchnic
venous thrombosis in acute pancreatitis: does
anticoagulation affect outcome? Gastroenterology
Res 2020; 13: 25-31.

Your pancreatobiliary imaging briefing
UEG week

* 'Video Case Session I: Diagnosis and management of

biliary and pancreatic strictures' session at 25th UEG
Week 2017 [https://ueg.eu/library/session/
video-case-session-i-diagnosis-and-management-ofbiliary-and-pancreatic-strictures/149/1809].

* 'Malignant biliary obstruction: Diagnostic and

therapeutic approach' session at 25th
UEG Week 2017 [https://ueg.eu/library/session/
malignant-biliary-obstruction-diagnostic-and-therapeutic-approach/149/1826].

* 'Advanced pancreato-biliary imaging' session at UEG
Week 2016 [https://ueg.eu/library/session/
advanced-pancreato-biliary-imaging/144/1621]

* 'Diagnosis and management of bile stones and its

complications' session at
UEG Week 2015 [https://ueg.eu/library/session/
diagnosis-and-management-of-bile-stones-and-itscomplications/109/1363].

Standards and Guidelines

* Manes G, et al. Endoscopic management of common

bile duct stones: European Society of Gastrointestinal
Endoscopy (ESGE) guideline. Endoscopy
2019; 51: 472-491 [https://ueg.eu/library/
endoscopic-management-of-common-bile-ductstones-european-society-of-gastrointestinal-endoscopy-esge-guideline/231354].

* Arvanitakis M, Dumonceau JM, Albert J, et al.

Endoscopic management of acute necrotizing
pancreatitis: European Society of Gastrointestinal
Endoscopy (ESGE) evidence-based multidisciplinary
guidelines. Endoscopy 2018; 50: 524-546
[https://ueg.eu/library/
endoscopic-management-of-acute-necrotizing-pancreatitis-european-society-of-gastrointestinal-endoscopy-esge-evidence-based-multidisciplinary-guideline/176625].

* Williams EJ, et al. Updated guideline on the

management of common bile duct stones (CBDS). Gut
2017; 66: 765-782 [https://ueg.eu/library/
updated-guideline-on-the-management-of-commonbile-duct-stones-cbds/174756].

* Tanaka M, et al. Revisions of international consensus
Fukuoka guidelines for the management of IPMN of
the Pancreas. Pancreatology 2017; 17: 738-753.
[https://www.sciencedirect.com/science/article/pii/
S1424390317305161].

* Madden A, et al. National Institute for Health and Care
Excellence Clinical Guideline 188. Gallstone disease:
diagnosis and management of cholelithiasis,
cholecystitis and choledocholithiasis. October 2014
[https://ueg.eu/library/
gallstone-disease-diagnosis-and-management-ofcholelithiasis-cholecystitis-and-choledocholithiasis/141805].

Mistakes in ... Booklet 2020

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