Main Article Content
Abstract
The splenic artery is a frequently affected site for pseudoaneurysms, abnormal bulges in the artery wall. Pseudoaneurysms of the splenic artery are typically linked to pancreatic issues, including acute pancreatitis, chronic pancreatitis, and the formation of pancreatic pseudocysts.[1,2,3,4] These pseudoaneurysms can rupture into nearby organs, leading to gastrointestinal bleeding.[5] Common symptoms associated with splenic artery pseudoaneurysms include the passage of bloody stools (hematochezia) or dark, tarry stools (melena), vomiting blood (hematemesis), abdominal pain, and a condition known as hemosuccus pancreaticus.[6] In the instance of our patient, hematemesis, anaemia, and stomach pain were observed.[6]
The preferred imaging method for diagnosing splenic artery pseudoaneurysm is CT angiography.[7] Diagnosing a pseudoaneurysm of the splenic artery can be challenging due to its rarity. Still, splenic infarct can provide a valuable diagnostic clue, as was the case similar to our patient.[6]
Pseudoaneurysm of the splenic artery is a relatively rare complication with associated pancreatitis.[1] While pseudoaneurysms can develop in any blood vessel near the pancreas, the splenic artery is most frequently affected, accounting for about 60% of cases due to its proximity to the pancreas.[8] In autopsy studies, the reported incidence of splenic artery pseudoaneurysms ranges from approximately 0.098% to 10.4%.[9] Identifying this less common vascular complication is crucial because it has the potential to rupture and lead to gastrointestinal bleeding.[5]
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- Tessier DJ, Stone WM, Fowl RJ, et al. Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative literature review. J Vasc Surg 2003;38(5):969-74.
- Huang IH, Zuckerman DA, Matthews JB. Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin collagen injection. J Vasc Surg 2004;40(3):574-7.
- Kuklinksi A, Batycki K, Matuszewski W, et al. Embolization of a large symptomatic splenic artery pseudoaneurysm. Pol J Radiol 2014;79:194-8.
- Guillon R, Garcier JM, Abergel A, et al. Management of splenic artery and false aneurysms with endovascular treatment in 12 patients. Cardiovasc Intervent Radiol 2003;26:256-60.
- Solanke D, Rathi C, Pipaliya N, et al. Gastrointestinal bleeding due to visceral artery pseudoaneurysms complicating chronic pancreatitis: a case series. J Pancreas 2016;17(2):204-8.
- Varshney P, Songra B, Mathur S, et al. Splenic artery pseudoaneurysm presenting as massive hematemesis: a diagnostic dilemma. Case Rep Surg 2014;2014:501937.
- Tulsyan N, Kashyap VS, Greenberg RK, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg 2007;45(2):276-83.
- Lee PC, Rhee RY, Gordon RY, et al. Management of splenic artery aneurysms: the significance of portal and essential hypertension. J Am Coll Surg 1999;189(5):483-90.
- Pandey SK, Bhattacharya S, Mishra RN, et al. Anatomical variations of the splenic artery and its clinical implications. Clin Anat 2004;17(6):497-502.
- Tcbc-Rj RA, Ferreira MC, Ferreira DA, et al. Splenic artery aneurysm. Rev Col Bras Cir 2016;43:398–400.
- Batagini NC, El-Arousy H, Clair DG, et al. Open versus endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Ann Vasc Surg 2016;35:1-8.
- Hemamalini. Unusual course of splenic artery: a case report. J Clin Diagn Res 2015;9(10):AD05-6.
- Sylvester PA, Stewart R, Ellis H. Tortuosity of the human splenic artery. Clin Anat 1995;8(3):214-8.
References
Tessier DJ, Stone WM, Fowl RJ, et al. Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative literature review. J Vasc Surg 2003;38(5):969-74.
Huang IH, Zuckerman DA, Matthews JB. Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin collagen injection. J Vasc Surg 2004;40(3):574-7.
Kuklinksi A, Batycki K, Matuszewski W, et al. Embolization of a large symptomatic splenic artery pseudoaneurysm. Pol J Radiol 2014;79:194-8.
Guillon R, Garcier JM, Abergel A, et al. Management of splenic artery and false aneurysms with endovascular treatment in 12 patients. Cardiovasc Intervent Radiol 2003;26:256-60.
Solanke D, Rathi C, Pipaliya N, et al. Gastrointestinal bleeding due to visceral artery pseudoaneurysms complicating chronic pancreatitis: a case series. J Pancreas 2016;17(2):204-8.
Varshney P, Songra B, Mathur S, et al. Splenic artery pseudoaneurysm presenting as massive hematemesis: a diagnostic dilemma. Case Rep Surg 2014;2014:501937.
Tulsyan N, Kashyap VS, Greenberg RK, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg 2007;45(2):276-83.
Lee PC, Rhee RY, Gordon RY, et al. Management of splenic artery aneurysms: the significance of portal and essential hypertension. J Am Coll Surg 1999;189(5):483-90.
Pandey SK, Bhattacharya S, Mishra RN, et al. Anatomical variations of the splenic artery and its clinical implications. Clin Anat 2004;17(6):497-502.
Tcbc-Rj RA, Ferreira MC, Ferreira DA, et al. Splenic artery aneurysm. Rev Col Bras Cir 2016;43:398–400.
Batagini NC, El-Arousy H, Clair DG, et al. Open versus endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Ann Vasc Surg 2016;35:1-8.
Hemamalini. Unusual course of splenic artery: a case report. J Clin Diagn Res 2015;9(10):AD05-6.
Sylvester PA, Stewart R, Ellis H. Tortuosity of the human splenic artery. Clin Anat 1995;8(3):214-8.