Post-traumatic intrasplenic pseudoaneurysm successfully managed by embolization

Chiarugi, Massimo; Goletti, Orlando; Pucciarelli, M; Cioni, Roberto; Puglisi, Adolfo; Cavina, Enrico

doi:10.1016/0020-1383(95)00131-x

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Death can potentially result. Patients with TISPs or NTISPs usually present with intrasplenic, subcapsular, perisplenic, or intraperitoneal rupture [14]. In case they develop as a complication of nonoperative management of splenic trauma, they can be diagnosed during follow-up prior to rupture with the use of US, colour Doppler US, or CT scan screening [13].…”

Section: Discussionmentioning

confidence: 99%

Intrasplenic Arterial Aneurysms during Pregnancy

Abu-Khalaf

Al-Ameer

Smadi

et al. 2015

Case Reports in Obstetrics and Gynecology

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Splenic artery aneurysms account for about 60% of all visceral aneurysms. Pregnancy is a risk factor for splenic artery aneurysms rupture with high maternal mortality and fetal loss. Intrasplenic arterial aneurysms are extremely rare and have not been reported to be associated with pregnancy. This report presents a 34-year-old woman during the second trimester, admitted with severe left upper quadrant and left shoulder pain. She had two uncomplicated intrasplenic aneurysms. Splenectomy was done. She delivered a full term healthy girl. This is the first report of acute abdomen during pregnancy caused by intrasplenic artery aneurysms with maternal and fetal survival.

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Section: Discussionmentioning

confidence: 99%

Intrasplenic Arterial Aneurysms during Pregnancy

Abu-Khalaf

Al-Ameer

Smadi

et al. 2015

Case Reports in Obstetrics and Gynecology

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“…It can be observed that pseudoaneurysm is even bigger than the aorta. only 13 well reported cases [2][3][4][5][6][7][8][9][10][11][12][13] of this complication in the recent English literature searching in Medline (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi) (Table 1 shows 12 cases; Owens [13] reported the last case, not included because the pseudoaneurysm has already ruptured).…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Intrasplenic Pseudoaneurysm with High-Flow Arteriovenous Fistula: New Lessons to Learn

Fernández

Delgado‐Plasencia

Arteaga-González

et al. 2008

Eur J Trauma Emerg Surg

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Intrasplenic pseudoaneurysm is a potentially lethal complication of abdominal trauma. We present the case of a 33-year-old patient with this particular complication diagnosed by CT-scan. Selective embolization was not possible due to its extraordinarily large size and finally splenectomy was performed. We review the English literature and discuss the particular role of the interventional radiologist to treat this entity. The interventional radiologist is the specialist who better estimates the success of embolization or the risk and possibility of delayed splenic rupture. Embolization of the arterial tributary to the pseudoaneurysm should be considered as the treatment of choice only when the diagnosis is made before rupture of the spleen and only in selected cases. Splenectomy always remains as an alternative treatment for high-risk pseudoaneurysms.

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“…It can also be treated with AE (90). Active extravasation of contrast in the form of a vascular blush may indicate that without embolisation, they will deteriorate (91,92).…”

Section: Outcome Of Non-intervention In Splenic Injuriesmentioning

confidence: 97%

Role of Angio-Embolisation in Trauma-Review

Durai

2010

Acta Chirurgica Belgica

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AE is very useful in managing patients with isolated spleen and liver injuries non-operatively. It can be used alone or as an adjunct to damage-control surgery in complex polytraumas and may decrease the blood loss in pelvic injuries. Whenever a trauma patient with splenic injury is treated non-operatively, subsequent splenic artery pseudoaneurysm should not be forgotten and the patient should be followed up with caution.

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Post-traumatic intrasplenic pseudoaneurysm successfully managed by embolization

Cited by 4 publications

References 5 publications

Intrasplenic Arterial Aneurysms during Pregnancy

Intrasplenic Arterial Aneurysms during Pregnancy

Posttraumatic Intrasplenic Pseudoaneurysm with High-Flow Arteriovenous Fistula: New Lessons to Learn

Role of Angio-Embolisation in Trauma-Review

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