Covered endovascular reconstruction of the aortic bifurcation: A versatile technique with many potential applications.

We present our experience with using the bifurcated covered endovascular reconstruction technique in two unusual conditions. One patient with a traumatic "seat belt" aortic injury and a second patient with a bleeding aorto-enteric fistula were successfully treated with the CERAB technique. We discuss potential benefits of the technique outside the usual pattern of chronic atherosclerotic aortoiliac disease.

Type IIIb Endoleak: The Great "Masquerader" - Risks of Liquid Agent Dislocation During Sac Embolization Techniques.

The diagnosis of late type III endoleaks may be very challenging on non-invasive imaging studies, and it is not unusual for type IIIb endoleaks to be misdiagnosed as type I endoleaks. The present report illustrates a type III endoleak that was misdiagnosed and treated as Type Ia endoleak. Embolization of the endoleak using a liquid embolic agent (Squid) was complicated by intraluminal graft dislodgement of the liquid agent. This unusual complication was recognised and treated successfully. Type IIIb endoleaks should always be considered in patients with persistent aneurysm sac perfusion treated with embolization using liquid embolic agents.

Pancreaticoportal fistula in association with antiphospholipid syndrome presenting as ascites and portal system thrombosis.

Fistulous communication between the pancreas and the portal venous system is extremely rare and is usually a complication of chronic pancreatitis or pancreatic pseudocysts. A patient who presented with abdominal pain and ascites secondary to a pancreaticoportal fistula and portal system thrombosis is described. The diagnosis was made by endoscopic retrograde cholangiopancreatography and confirmed by immediate postprocedure computed tomographic scanning. Laboratory studies identified concomitant antiphospholipid syndrome. The patient responded favourably to supportive medical therapy.