scholarly journals First report of successful treatment of splenic artery pseudoaneurysm with endoscopic ultrasound-guided coil and glue

Endoscopy ◽  
2017 ◽  
Vol 49 (07) ◽  
pp. E179-E180
Author(s):  
Praveer Rai ◽  
Bhavin Bhera ◽  
Malay Sharma
Keyword(s):  
Endoscopic Ultrasound ◽  
Successful Treatment ◽  
Splenic Artery ◽  
Ultrasound Guided ◽  
Artery Pseudoaneurysm ◽  
First Report ◽  
Splenic Artery Pseudoaneurysm

scholarly journals Endoscopic ultrasound-guided coil and glue for treatment of splenic artery pseudo-aneurysm: new kid on the block!

2018 ◽  
Vol 06 (07) ◽  
pp. E821-E825
Author(s):  
Praveer Rai ◽  
Harish KC ◽  
Amit Goel ◽  
Rakesh Aggarwal ◽  
Malay Sharma
Keyword(s):  
Endoscopic Ultrasound ◽  
Splenic Artery ◽  
Angiographic Embolization ◽  
Ultrasound Guided ◽  
Artery Pseudoaneurysm ◽  
Pseudo Aneurysm ◽  
Safe Technique ◽  
A New Technique ◽  
Glue Injection ◽  
Splenic Artery Pseudoaneurysm

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.

scholarly journals Endoscopic ultrasound of splenic artery pseudoaneurysm

Endoscopy ◽  
2017 ◽  
Vol 49 (S 01) ◽  
pp. E25-E26 ◽  
Author(s):  
Malay Sharma ◽  
Piyush Somani ◽  
Maryam Al Khatry ◽  
Amol Patil
Keyword(s):  
Endoscopic Ultrasound ◽  
Splenic Artery ◽  
Artery Pseudoaneurysm ◽  
Splenic Artery Pseudoaneurysm

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 ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Splenic Artery ◽  
Thrombin Injection ◽  
Artery Pseudoaneurysm ◽  
Splenic Artery Pseudoaneurysm

scholarly journals A case of splenic artery pseudoaneurysm rupture presenting as rectal bleeding in a regional hospital

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Jonathon N Holt ◽  
Heinrich E Schwalb
Keyword(s):  
Rectal Bleeding ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Regional Hospital ◽  
Alcoholic Pancreatitis ◽  
Chronic Alcoholic Pancreatitis ◽  
Chronic Alcoholic ◽  
Artery Pseudoaneurysm ◽  
Previous Trauma ◽  
Splenic Artery Pseudoaneurysm

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.

scholarly journals Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm

2013 ◽  
Vol 79 (3-4) ◽  
Author(s):  
M. Irfan ◽  
F. Thiavalappil ◽  
J. Nagaraj ◽  
T.H. Brown ◽  
D. Roberts ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Splenic Artery ◽  
Artery Pseudoaneurysm ◽  
Pancreatic Tuberculosis ◽  
Pancreatic Lymph Nodes ◽  
Splenic Artery Pseudoaneurysm ◽  
Draining Lymph Nodes

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.

Splenic artery pseudoaneurysm and resultant haematosuccus pancreaticus

2021 ◽  
Vol 14 (3) ◽  
pp. e239485
Author(s):  
Shwetambari Sonanis ◽  
Benjamin Layton ◽  
Oliver Nicholson ◽  
DA Subar
Keyword(s):  
Pancreatic Duct ◽  
Main Pancreatic Duct ◽  
Splenic Artery ◽  
Clinical Symptoms ◽  
Cross Sectional ◽  
Artery Pseudoaneurysm ◽  
Risk Of Rupture ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Splenic Artery Pseudoaneurysm

Splenic artery pseudoaneurysm (SAP) is a rare and dangerous diagnosis with a high risk of rupture and death. It is the most common cause of main pancreatic duct haematoma—haematosuccus pancreaticus (HP). Neither SAP nor HP have specific clinical features that allow diagnosis without cross-sectional imaging. Upper gastrointestinal haemorrhage and a history of pancreatitis should raise clinical suspicion but ultimately endoscopy and CT are required. We report a case of a 51-year-old man without clinical symptoms in whom cross-sectional imaging was undertaken for incidental severe acute anaemia. This demonstrated stigmata of chronic pancreatitis and the main pancreatic duct was distended with dense material in keeping with haematoma. The diagnosis of a SAP bleeding into the main pancreatic duct was made radiologically. A subsequent oesophago-gastro-duodenoscopy confirmed the diagnosis. The imaging appearances, pathophysiology and management are discussed.

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