Association of splenic artery pseudoaneurysm with recurrent pancreatitis

Autor: Muhammad Nadeem Yousaf, Fizah S. Chaudhary, Amrat Ehsan, Marcos A. Wolff, Charmian D. Sittambalam
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 3, Pp 290-293 (2020)
Druh dokumentu: article
ISSN: 2000-9666
20009666
DOI: 10.1080/20009666.2020.1771070
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: Directory of Open Access Journals
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