Authors: Ross Frederick Goldberg Warren Maley Eugene P Kennedy Charles J Yeo Harish Lavu
Publish Date: 2010/11/25
Volume: 15, Issue: 6, Pages: 1063-1066
Abstract
Our literature review identified 160 cases of splenic artery pseudoaneurysm in the last 43 years These ranged in size from 03 to 17 cm and of these 18 11 were 5 cm or larger The majority of patients underwent treatment either endovascularly or with open surgery and their outcomes were independent of presenting symptoms or sizeGiant splenic artery pseudoaneurysms are uncommon most often caused by pancreatitis trauma or iatrogenic etiologies and typically present with vague constitutional symptoms or occasionally with hemorrhage Most can be treated endovascularly though in our case this was not possible due to the presence of celiac artery occlusion with retrograde filling of the pseudoaneurysm from superior mesenteric artery collaterals Ultimately we opted for an open technique with supraceliac aortic control prior to manipulation and resection of the pseudoaneurysm
Keywords: