Association of splenic artery pseudoaneurysm with recurrent pancreatitis
| Autor: | Fizah S Chaudhary, Marcos A Wolff, Muhammad Nadeem Yousaf, Charmian D. Sittambalam, Amrat Ehsan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine pancreatitis Case Report 030204 cardiovascular system & hematology Splenic artery Asymptomatic 03 medical and health sciences Pseudoaneurysm splenic artery 0302 clinical medicine Recurrent pancreatitis medicine.artery Internal Medicine medicine angiography 030212 general & internal medicine lcsh:RC31-1245 medicine.diagnostic_test business.industry pancreatic cyst pseudoaneurysm medicine.disease Splenic Hilum Angiography Acute pancreatitis Pancreatitis Radiology medicine.symptom business |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 3, Pp 290-293 (2020) Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record |
| ISSN: | 2000-9666 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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