scholarly journals Splenic artery pseudoaneurysm treated with thrombin injection guided by endoscopic ultrasound

Endoscopy ◽  
2012 ◽  
Vol 44 (S 02) ◽  
pp. E99-E100 ◽  
Author(s):  
D. Chaves ◽  
F. Costa ◽  
S. Matuguma ◽  
M. Lera dos Santos ◽  
E. de Moura ◽  
...  
Endoscopy ◽  
2017 ◽  
Vol 49 (S 01) ◽  
pp. E25-E26 ◽  
Author(s):  
Malay Sharma ◽  
Piyush Somani ◽  
Maryam Al Khatry ◽  
Amol Patil

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.


2020 ◽  
Vol 4 (02) ◽  
pp. 111-114
Author(s):  
Pradesh Kumar ◽  
Jasmine Ming Er Chua ◽  
Jared Jue Ying Yeo ◽  
Edward Tieng Chek Choke ◽  
Pooja Sachdeva

AbstractDissecting splenic artery pseudoaneurysm due to segmental arterial mediolysis (SAM) is a rare condition. We describe a case of direct percutaneous transgastric–transpancreatic thrombin injection into a dissecting splenic artery pseudoaneurysm due to SAM. The direct thrombin injection resulted in successful thrombosis of the pseudoaneurysm. At 1-month follow-up, the patient remained well with persistent thrombosis of the pseudoaneurysm.


2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Jonathon N Holt ◽  
Heinrich E Schwalb

Abstract Splenic artery pseudoaneurysm is a rare phenomenon most associated with chronic pancreatitis or previous trauma. Complications can include erosion and rupture into local structures, a situation that carries a reported mortality of 10–40%. A 58-year-old male with chronic alcoholic pancreatitis and a known splenic artery pseudoaneurysm presented to the emergency department of a regional hospital with rectal bleeding and sepsis. Computed tomography revealed a peri-splenic mass communicating with the splenic flexure. The patient was taken for an emergency splenectomy and left hemicolectomy and was confirmed to have rupture of the splenic artery aneurysm into the large bowel. This case presented with comparable features reported in the literature and demonstrates that access to emergency specialist surgical services in a regional setting offers the capability to manage rare, life threatening surgical emergencies.


2013 ◽  
Vol 79 (3-4) ◽  
Author(s):  
M. Irfan ◽  
F. Thiavalappil ◽  
J. Nagaraj ◽  
T.H. Brown ◽  
D. Roberts ◽  
...  

Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm. M. Irfan, F. Thiavalappil, J. Nagaraj, T.H. Brown, D. Roberts, L. Mcknight, N.K. Harrison. Tuberculosis involving the pancreas is rare. We report a patient with pancreatic tuberculosis complicated by haemorrhage from a splenic artery pseudoaneurysm. As far as we are aware, the development of a splenic artery pseudoaneurysm in association with a large caseating mass of tuberculous pancreatic lymph nodes has not been reported previously. We review the literature and discuss the varied presentations of tuberculosis involving the pancreas or the pancreatic bed and its draining lymph nodes.


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