Khurram R, Al-Obudi Y, Glover TE, Shah R, Khalifa M, Davies N. Splenic artery pseudoaneurysm: Challenges of non-invasive and endovascular diagnosis and management.
Radiol Case Rep 2021;
16:1395-1399. [PMID:
33912254 PMCID:
PMC8063705 DOI:
10.1016/j.radcr.2021.03.013]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 03/09/2021] [Indexed: 01/03/2023] Open
Abstract
Splenic artery pseudoaneurysms (PAs) are uncommon and often occur as a complication of pancreatitis or trauma. Unlike true aneurysms, PAs are symptomatic in a majority of cases and patients can present with a constellation of non-specific symptoms. Diagnosis can be challenging due to variation in presenting features and mimicking pathologies. PAs are associated with a very high morbidity and mortality if left untreated. We present an unusual case of a 47-year-old gentleman diagnosed with a splenic artery pseudoaneurysm despite initial negative catheter angiography and discuss the challenges of splenic artery pseudoaneurysm diagnosis and management.
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