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Effraemidou E, Souftas V, Kofina K, Karanikas M, Lyratzopoulos N. Spontaneous rupture of a splenic artery aneurysm treated with a spleen-preserving procedure: a case report. J Surg Case Rep 2020; 2020:rjz412. [PMID: 32064078 PMCID: PMC7015077 DOI: 10.1093/jscr/rjz412] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 12/27/2019] [Accepted: 01/01/2020] [Indexed: 12/02/2022] Open
Abstract
Splenic artery aneurysm is a rare and life-threatening condition, in case of spontaneous rupture. A rare case of such a rupture, treated successfully with an endovascular procedure, is presented. A 21-year-old man presented to the emergency department after an episode of loss of consciousness. After initial conservative treatment, he developed hemodynamic instability 12 hours later, with concurrent diffuse abdominal pain. Abdominal CT revealed a ruptured splenic artery aneurysm, which was immediately treated with coil embolization. The patient had an uneventful recovery and was discharged on the 12th day after the procedure. Although open surgery is the choice of treatment in cases of ruptured splenic artery aneurysms, endovascular embolization can also be considered a safe procedure with low complication and mortality rates.
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Affiliation(s)
- Eleni Effraemidou
- 1st Department of Surgery, Democritus University of Thrace, Dragana, Alexandroupolis, Greece
| | - Vasileios Souftas
- Department of Radiology, Democritus University of Thrace, Dragana, Alexandroupolis, Greece
| | - Konstantinia Kofina
- 1st Department of Surgery, Democritus University of Thrace, Dragana, Alexandroupolis, Greece
| | - Michael Karanikas
- 1st Department of Surgery, Democritus University of Thrace, Dragana, Alexandroupolis, Greece
| | - Nikolaos Lyratzopoulos
- 1st Department of Surgery, Democritus University of Thrace, Dragana, Alexandroupolis, Greece
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Soder BL, Dart BW, Stanley JD. Appendicitis—Current Practices in a Tertiary Referral Center. Am Surg 2016. [DOI: 10.1177/000313481608200204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Brent L. Soder
- Department of Surgery University of Tennessee College of Medicine Chattanooga Chattanooga, Tennessee
| | - Benjamin W. Dart
- Department of Surgery University of Tennessee College of Medicine Chattanooga Chattanooga, Tennessee
| | - J. Daniel Stanley
- Department of Surgery University of Tennessee College of Medicine Chattanooga Chattanooga, Tennessee
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Allen CJ, Curbelo M, Samuels SL, Perez EA, Chacon A, Gonzalez-Vallina R, Sola JE. Endovascular coil embolization of a pancreatic pseudoaneurysm in a child with pancreatitis. Pediatr Surg Int 2015; 31:1195-8. [PMID: 26474572 DOI: 10.1007/s00383-015-3801-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/12/2015] [Indexed: 10/22/2022]
Abstract
Pancreatic pseudoaneurysm is a rare but potentially fatal complication in pancreatitis; however, the incidence in children is not well established. Surgery has been the mainstay of treatment; however, we report a case of PSA associated with pancreatitis in a 6-year-old boy, which was successfully managed endovascularly.
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Affiliation(s)
- Casey J Allen
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 450K, Miami, FL, 33136, USA
| | - Miosotys Curbelo
- Department of Pediatrics, Baptist Children's Hospital, Miami, FL, USA
| | - Shaun L Samuels
- Baptist Cardiac and Vascular Institute, Baptist Hospital, Miami, FL, USA
| | - Eduardo A Perez
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 450K, Miami, FL, 33136, USA.,Department of Pediatrics, Baptist Children's Hospital, Miami, FL, USA
| | - Arcenio Chacon
- Department of Pediatrics, Baptist Children's Hospital, Miami, FL, USA
| | | | - Juan E Sola
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 450K, Miami, FL, 33136, USA. .,Department of Pediatrics, Baptist Children's Hospital, Miami, FL, USA.
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Abstract
A 70-year-old man was investigated with CT imaging for haematuria. An incidental finding was made of a large inferior pancreaticoduodenal artery aneurysm. Following a period of monitoring, the patient underwent open repair of the aneurysm. This case report highlights an unusual pathology and discusses the clinical complexities related to its management.
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Affiliation(s)
- Jason Robert Lewis
- Department of Vascular Surgery, The Princess Alexandra Hospital, Harlow, UK
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