Treatment of a contained rupture of a splenic artery pseudoaneurysm with direct thrombin injection

Autor: Matthew Cunningham-Hill, MD, Brendan Jones, MD, Lakshmikumar Pillai, MD, Pamela Zimmerman, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 10, Iss 2, Pp 101398- (2024)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2023.101398
Popis: Splenic artery pseudoaneurysm is a rare and potentially fatal condition. In the present report, we describe the case of a 50-year-old woman with chronic pancreatitis who presented with worsening abdominal pain. Computed tomography demonstrated a 3.5-cm splenic artery pseudoaneurysm of the mid-splenic artery. The patient underwent attempted endovascular repair of the pseudoaneurysm that was unsuccessful. Open conversion revealed an inaccessible splenic artery due to chronic pancreatitis that resulted in dense retroperitoneal fibrosis, and repair was achieved via direct thrombin injection under ultrasound guidance of the pseudoaneurysm and splenectomy. The patient recovered well, and computed tomography at 3 days postoperatively revealed complete thrombosis of the pseudoaneurysm.
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