Transcatheter Embolization of Splenic Artery Pseudo-Aneurysm Rupturing into Colon After Post-Operative Pancreatitis

2005 ◽  
Vol 29 (1) ◽  
pp. 133-136 ◽  
Author(s):  
Yuki Iwama ◽  
Koji Sugimoto ◽  
Carlos A. Zamora ◽  
Masato Yamaguchi ◽  
Masakatsu Tsurusaki ◽  
...  
2009 ◽  
Vol 76 (6) ◽  
pp. 308-318 ◽  
Author(s):  
Keisuke Hara ◽  
Hiroshi Yoshida ◽  
Nobuhiko Taniai ◽  
Sho Mineta ◽  
Youichi Kawano ◽  
...  

2021 ◽  
Vol 1 (2) ◽  
pp. 7-11
Author(s):  
Nasibah Mohamad ◽  
Fatin Syahirah Sulaiman ◽  
Norhafizah Ehsan ◽  
Izazul Hussin

Splenic artery pseudoaneurysm is a rare condition commonly arises as a sequelae of pancreatitis. Pseudoaneurysm is clinically silent until it ruptures. Thus, untreated pseudoaneurysm carries a high mortality rate up to 90%. We present a case of necrotising pancreatitis complicated with unruptured splenic artery pseudoaneurysm, which was found incidentally from computed tomography (CT) of abdomen. Patient was presented with symptomatic anemia and bleeding from the abdominal drain. We proceeded with embolization of pseudoaneurysm by using Histoacryl glue, resulting in successful complete resolution of pseudoaneurysm with good patient outcome. Transcatheter embolization is considered the current treatment of choice for pseudoaneurysm as it provides an alternative to conventional surgery due to its high successful rate. In this case report, we want to shed light on an alternative treatment approach of the splenic artery pseudoaneurysm.


1995 ◽  
Vol 56 (5) ◽  
pp. 1050-1053
Author(s):  
Tetsuya KANEKO ◽  
Akimasa NAKAO ◽  
Toshiaki NONAMI ◽  
Hirotaka MARUYAMA ◽  
Norimasa YOSHIDA ◽  
...  

2018 ◽  
Vol 06 (07) ◽  
pp. E821-E825
Author(s):  
Praveer Rai ◽  
Harish KC ◽  
Amit Goel ◽  
Rakesh Aggarwal ◽  
Malay Sharma

Abstract Background and study aims Pseudoaneurysm most commonly involves the splenic artery and is conventionally treated with angioembolization or surgery. Herein we describe six patients with splenic artery pseudoaneurysm who were treated using a new technique of endoscopic ultrasound (EUS)-guided glue and coil injection. Patients and methods Six patients (median age 36.7, range: 19 – 60, M: F = 5:1) with splenic artery pseudoaneurysm who had failed angiographic embolization underwent EUS-guided transgastric injection of coil and glue injection between July 2016 and September 2017. Results The diameter of the splenic artery pseudoaneurysms varied from 2.5 cm to 6.5 cm. The size (8, 14 and 16 mm) and number (1 to 5) of coils and amount of glue (1 – 2 mL) injected all were greater in larger aneurysm. All six patients had complete occlusion of the pseudoaneurysm as determined by using computed tomography at 4 weeks and EUS at 12 weeks. No complication was encountered. Conclusion EUS-guided coil and glue injection for obliteration of splenic artery pseudoaneurysm is a feasible, highly effective and safe technique.


2004 ◽  
Vol 40 (5) ◽  
pp. 1049 ◽  
Author(s):  
Zachary C. Schmittling ◽  
Robert McLafferty

2020 ◽  
Vol 8 (7) ◽  
pp. 741-743
Author(s):  
El Oukli Yassir ◽  
Youssef Kerroum ◽  
Mohamed Alaoui Maliki ◽  
Khedid Yahya Zin El Abidin ◽  
Mohamed El Absi ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Marianna Mastroroberto ◽  
Sonia Berardi ◽  
Matteo Renzulli ◽  
Caterina Maggioli ◽  
Paolo Pianta ◽  
...  

Transcatheter embolization is the mainstay of the therapy of splenic artery aneurysms (SAAs) in patients with portal hypertension. It is indicated when the SAA diameter reaches 20 mm. Although endovascular techniques are effective and safe for the treatment of medium-sized SAAs, little is known about their applicability to large-sized SAAs. Herein, we report a case of giant SAA, which was treated with transcatheter coil embolization. The case was not considered suitable for surgery because of the presence of severe portal hypertension. The procedure was complicated by bacterial infection of the coils within the aneurismatic sac, leading to the development of hepatic failure. A liver transplant was then successfully performed despite the presence of a nonresponsive infection.


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