scholarly journals Successful transcatheter embolization of splenic artery pseudoaneurysm in acute necrotising pancreatitis.

2021 ◽  
Vol 1 (2) ◽  
pp. 7-11
Author(s):  
Nasibah Mohamad ◽  
Fatin Syahirah Sulaiman ◽  
Norhafizah Ehsan ◽  
Izazul Hussin
Keyword(s):  
Splenic Artery ◽  
Rare Condition ◽  
Transcatheter Embolization ◽  
Current Treatment ◽  
Artery Pseudoaneurysm ◽  
Abdominal Drain ◽  
Good Patient Outcome ◽  
Necrotising Pancreatitis ◽  
Acute Necrotising Pancreatitis ◽  
Splenic Artery Pseudoaneurysm

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.

scholarly journals Giant Splenic Artery Pseudoaneurysm Mimicking Pancreatic Mass

2021 ◽  
Vol 6 (02) ◽  
pp. 137-139
Author(s):  
R. A. Mammadov ◽  
S. S. Mammadova ◽  
F. A. Gahramanova ◽  
Sh. A. Mammadova ◽  
A. B. Hasanov ◽  
...  
Keyword(s):  
Open Surgery ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Pancreatic Mass ◽  
Deficiency Anemia ◽  
Abdominal Aneurysm ◽  
Artery Pseudoaneurysm ◽  
Endovascular Methods ◽  
Splenic Artery Pseudoaneurysm

Splenic artery aneurysm (SAA) is a rare condition in abdominal surgery and the third most abdominal aneurysm after aortic and iliac artery aneurysms. Open surgery during the giant SAA is still the gold standard of treatment. Here we present the case of the giant SAA in a 68-year-old man. He had a pancreatic mass and iron deficiency anemia. The diagnosis was confirmed by ultrasound and CT angiography and showed a pancreatic mass and expansion of the splenic artery more than 3.5 cm. The size of the aneurysm and the clinical picture of the patient were indications for open surgery. The patient was treated by resection of the spleen and distal pancreatectomy with the aneurysmal part of the splenic artery. As far as we know, open surgery is still the best treatment choice, despite some advances in endovascular methods.

scholarly journals Percutaneous Transgastric–Transpancreatic Treatment of a Dissecting Splenic Artery Pseudoaneurysm due to Segmental Arterial Mediolysis

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
Keyword(s):  
Splenic Artery ◽  
Rare Condition ◽  
Thrombin Injection ◽  
Artery Pseudoaneurysm ◽  
Segmental Arterial Mediolysis ◽  
Splenic Artery Pseudoaneurysm

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.

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.

scholarly journals Late Migration of a Covered Stent into the Stomach after Repair of a Splenic Artery Pseudoaneurysm

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Alberto Rebonato ◽  
Daniele Maiettini ◽  
Luigina Graziosi ◽  
Miltiadis Krokidis ◽  
Michele Rossi
Keyword(s):  
Splenic Artery ◽  
Covered Stent ◽  
Artery Pseudoaneurysm ◽  
Splenic Artery Pseudoaneurysm

Successful endovascular management of giant splenic artery aneurysms

Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 317-322 ◽  
Author(s):  
M F Ho ◽  
Y C Chan ◽  
S W Cheng
Keyword(s):  
Current Literature ◽  
Splenic Artery ◽  
Endovascular Management ◽  
Main Trunk ◽  
Artery Pseudoaneurysm ◽  
Surgical Emergencies ◽  
Co Morbidity ◽  
Open Surgical Treatment ◽  
Conventional Open Surgery ◽  
Splenic Artery Pseudoaneurysm

Giant pseudoaneurysms of the splenic artery, with a diameter of 5 cm or more, are rare surgical emergencies, and conventional open surgery usually involves splenectomy. The aim of this study is to report two cases from our institution and to review the world's literature on successful endovascular treatment of patients with giant splenic artery pseudoaneurysms. A retrospective review of a prospectively entered departmental computerized database was performed for the two patients from our institution. Articles were searched electronically from PubMed and Medline, using the terms ‘giant splenic artery’, ‘endovascular’ and ‘embolization’; and relevant cases were reviewed from the world's literature. We hereby report two patients with giant splenic artery pseudoaneurysms who were treated successfully with endovascular procedures. In addition to the two patients from our institution, there were five patients with giant splenic artery pseudoaneurysms in the published literature who underwent successful endovascular management. The first patient of our series had the largest pseudoaneursym size of 7.2 × 8.1 cm, which is the largest documented pseudoaneursym in the current literature. We report two cases of giant splenic artery pseudoaneurysm with one being the largest pseudoaneurysm treated with endovascular technique in the current literature. Endovascular coil embolization of main trunk of splenic artery is less invasive than open surgical treatment for giant splenic artery pseudoaneurysm, and circumvents the problem of difficult exposure, especially in those patients with significant co-morbidity.

scholarly journals A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110619
Author(s):  
Nguyen Dinh Luan ◽  
Nguyen Minh Duc ◽  
Nguyen Hong Son ◽  
Tran Minh Hien ◽  
Le Anh Huy ◽  
...  
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Hemodynamic Instability ◽  
Splenic Artery Aneurysm ◽  
Upper Gastrointestinal Hemorrhage ◽  
Artery Pseudoaneurysm ◽  
Rare Case Report ◽  
Upper Gastrointestinal ◽  
Splenic Artery Pseudoaneurysm

Splenic artery aneurysm and splenic artery pseudoaneurysm are rare vascular pathologies. The splenic artery represents the third most common site for intra-abdominal aneurysms. In contrast with true splenic artery aneurysm, splenic artery pseudoaneurysm is typically symptomatic, presenting with a range of symptoms, from abdominal pain to hemodynamic instability due to rupture. However, gastrointestinal hemorrhage is an uncommon complication of splenic artery pseudoaneurysm. We report a case of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm rupture. The patient was successfully treated by endovascular intervention.

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