Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma

Abbey-Mensah, Geraldine; Herskowitz, Michael M.; Walsh, James P.; Leonardo, Robert

doi:10.1155/2018/7473168

Cited by 7 publications

(12 citation statements)

References 12 publications

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“…It is estimated that up to 21% of patients with chronic pancreatitis and 10% patients with chronic pancreatitis and pseudocyst develop SAP as additional complication (8,9). Blunt and penetrating trau-ma as well as iatrogenic trauma or peptic ulcer disease are less common causes (10). In a small number of SAP, there is no identifiable cause (7).…”

Section: Discussionmentioning

confidence: 99%

Possibility of Radiological Diagnostics of Splenic Artery Pseudoaneurysm-a Case Report and Review of Literature

Mišović¹,

Golubović²,

Sekulić³

et al. 2019

amm

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Splenic artery pseudoaneurysm (SAP) is extremely rare, but potentially fatal medical condition. In the literature to date, pseudoaneurysms of the splenic artery were described in less than 250 cases. The most frequent cause of this rare condition is pancreatitis. Patients with splenic artery pseudoaneurysms are almost always presented by severe clinical symptoms. Ruptured pseudoaneurysms can cause fatal complications. The aim of this study was to present radiological possibilities in diagnostics of SAP in a patient suffering from chronic pancreatitis. Patient was initially advised for Ultrasound and Color Dopller sonography where lesion suspicion for SAP was made. Further, CT angiography and DSA were performed to provide certain diagnosis. The patient was surgically treated and histopathological examination definitely confirmed diagnose of SAP.

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Section: Discussionmentioning

confidence: 99%

Possibility of Radiological Diagnostics of Splenic Artery Pseudoaneurysm-a Case Report and Review of Literature

Mišović¹,

Golubović²,

Sekulić³

et al. 2019

amm

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“…19 Pseudoaneurysms are more common in men and are most often caused by acute or chronic pancreatitis and pancreatic pseudocysts. 17,20 It has been stated that up to 10% of patients with pancreatitis will develop arterial complications because of activated pancreatic enzymes that digest the artery wall. The splenic artery is the vessel most often involved in these complications.…”

Section: Aneurysm or Pseudoaneurysmmentioning

confidence: 99%

“…The splenic artery is the vessel most often involved in these complications. 20 Less common causes may be related to a concomitant increases in percutaneous and endovascular biliary interventions, 21 peptic ulcers, 20 mycotic infection of the artery wall, 9 and trauma. 17,20 Abdominal traumas are generally blunt, rather than penetrating, and more often intrasplenic, rather than restricted to the main splenic artery.…”

Section: Aneurysm or Pseudoaneurysmmentioning

confidence: 99%

“…20 Less common causes may be related to a concomitant increases in percutaneous and endovascular biliary interventions, 21 peptic ulcers, 20 mycotic infection of the artery wall, 9 and trauma. 17,20 Abdominal traumas are generally blunt, rather than penetrating, and more often intrasplenic, rather than restricted to the main splenic artery. 20 In general, pseudoaneurysms are more prone to rupture than true aneurysms and some authors recommend that all pseudoaneurysms should be managed with interventions.…”

Section: Aneurysm or Pseudoaneurysmmentioning

confidence: 99%

“…17,20 Abdominal traumas are generally blunt, rather than penetrating, and more often intrasplenic, rather than restricted to the main splenic artery. 20 In general, pseudoaneurysms are more prone to rupture than true aneurysms and some authors recommend that all pseudoaneurysms should be managed with interventions. 22,23 Pain is the typical symptom in the clinical presentation of a splenic pseudoaneurysm, and the arterial phase of tomography with contrast will show the splenic artery or one of its intrasplenic branches contrasted and surrounded by hematoma.…”

Section: Aneurysm or Pseudoaneurysmmentioning

confidence: 99%

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Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Mariúba¹

2020

J. vasc. bras.

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True splenic artery aneurysms (SAA) are a rare, but potentially fatal, pathology. They are the third most common type of abdominal aneurysm, after aneurysms of the aorta and of the iliac artery, and account for almost the all aneurysms of visceral arteries. True aneurysms account for 60% of SAA and affect four times as many women as men, generally related to increased incidental or symptomatic findings that coincide with use of ultrasonography in pregnancy. Among pregnant patients, mortality after rupture is 65-75%, with fetal mortality exceeding 90%. There are multiple etiologies and it is believed that hormonal influences and changes in portal flow during gestation play an important role in development of SAA. This review discusses their history, epidemiology, pathophysiology, and diagnosis and current treatment techniques. ResumoAneurismas da artéria esplênica (AAE) verdadeiros são uma patologia rara, mas potencialmente fatal. São o terceiro aneurisma abdominal mais comum, após aneurismas da aorta e da artéria ilíaca, e representam quase todos os aneurismas de artérias viscerais. Os aneurismas verdadeiros são responsáveis por 60% dos AAEs e afetam as mulheres quatro vezes mais do que os homens, geralmente relacionados a uma descoberta incidental ou sintomática aumentada que coincide com o uso da ultrassonografia na gravidez. Em pacientes grávidas, a mortalidade, após a ruptura, é de 65-75%, com mais de 90% de mortalidade fetal. Têm múltiplas etiologias, e acredita-se que as influências hormonais e as alterações do fluxo portal durante a gestação desempenhem um papel importante no desenvolvimento do AAE. Esta revisão discorrerá sobre sua história, epidemiologia, fisiopatologia, diagnóstico, e as técnicas atuais de tratamento. Palavras-chave: aneurisma; artéria esplênica; procedimentos endovasculares. How to cite: Mariúba JVO. Splenic aneurysms: natural history and treatment techniques. J Vasc Bras. 2020;19:e20190058.

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Association of splenic artery pseudoaneurysm with recurrent pancreatitis

Yousaf

Chaudhary

Ehsan

et al. 2020

Journal of Community Hospital Internal Medicine Perspectives

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A pseudoaneurysm of the splenic artery (SAP) is a rare entity which is associated with pancreatitis in 52% of cases. In the presence of pancreatitis, the enzymatic damage to the wall of splenic artery results in pseudoaneurysm formation. The clinical presentation is variable and ranges from asymptomatic to hemodynamic instability. The diagnosis of SAP is challenging in the presence of peripancreatic fluid collection or pseudocyst, where CT abdomen can miss small pseudoaneurysms. Angiography is a useful modality to establish a definitive diagnosis. We present a 49-year-old male with a history of recurrent pancreatitis due to alcoholism who presented with acute abdominal pain and was found to have acute pancreatitis. Abdominal CT scan showed a peripancreatic fluid collection and hyperdense lesion at the splenic hilum, which was diagnosed as SAP on angiography. A transcatheter embolization was performed with complete resolution of symptoms thereafter.

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Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma

Cited by 7 publications

References 12 publications

Possibility of Radiological Diagnostics of Splenic Artery Pseudoaneurysm-a Case Report and Review of Literature

Possibility of Radiological Diagnostics of Splenic Artery Pseudoaneurysm-a Case Report and Review of Literature

Aneurismas de artéria esplênica: história natural e técnicas de tratamento

Association of splenic artery pseudoaneurysm with recurrent pancreatitis

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