Diagnosis of double splenic artery pseudoaneurysm: CT scan versus angiography

Badour, Sanaa; Mukherji, Deborah; Faraj, Walid; Haydar, Ali

doi:10.1136/bcr-2014-207014

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…However, it does not offer the benefit of treatment, and the sensitivity is 67% [7,10]. On the other hand, angiography is a reliable technique for pseudoaneurysm diagnosis and enables endovascular embolization [11]. Therefore, angiography should be conducted when the presence of pseudoaneurysm cannot be denied based on CT findings.…”

Section: Discussionmentioning

confidence: 99%

A Case of Cecal Diverticulitis Complicated by Pseudoaneurysm in the Ileocolic Artery

Inoue¹,

Tanaka²

2022

Cureus

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Acute colonic diverticulitis is a common gastrointestinal illness. It has several complications, such as perforation, abscess, and fistula formation. In addition, pseudoaneurysm caused by diverticulitis has been reported. We report a case of cecal diverticulitis complicated by pseudoaneurysm in the ileocolic artery.A 58-year-old Japanese man was referred to our hospital for abdominal pain. Abdominal examination revealed right lower quadrant pain. Computed tomography (CT) scans showed the presence of diverticula and pericolic fat stranding in the cecum. Following this, he was diagnosed with cecal diverticulitis. Despite antibiotic treatment, his abdominal pain and blood test results worsened. On the third hospital day, a CT scan was performed again, revealing a pseudoaneurysm with hematoma in the ileocolic artery. Interventional radiology (IVR) was conducted to treat the pseudoaneurysm. It was embolized with n-butyl-2-cyanoacrylate (NBCA) and lipiodol. After embolization, he had stable hemoglobin. His abdominal pain and blood test results improved.Pseudoaneurysms have been reported as a rare complication for diverticulitis. When a rupture occurs, it has a high risk of mortality. Early diagnosis and treatment of pseudoaneurysms are essential, and we should consider pseudoaneurysms as a complication of acute colonic diverticulitis.

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Section: Discussionmentioning

confidence: 99%

A Case of Cecal Diverticulitis Complicated by Pseudoaneurysm in the Ileocolic Artery

Inoue¹,

Tanaka²

2022

Cureus

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“…SAPA are seen almost exclusively in patients with chronic pancreatitis, which causes long-standing inflammation and erosion of the vessel wall that compromises its integrity, although a small number are iatrogenic from surgical or radiological procedures[33]. Between 4.5%-17% of all patients with chronic pancreatitis have SAPA and although most are asymptomatic, rupture is fatal in 90% of cases[32,34,35]. The most common site of rupture is into a pancreatic pseudocyst which causes bleeding into the pancreatic duct and subsequently the gastrointestinal tract[33].…”

Section: Discussionmentioning

confidence: 99%

Atraumatic splenic rupture after cocaine use and acute Epstein-Barr virus infection: A case report and review of literature

Kwok¹

2019

WJGS

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BACKGROUNDAtraumatic splenic rupture (ASR) accounts for just over 3% of all cases of splenic rupture and is associated with a high mortality rate. The most common culprit is acute infection with Epstein-Barr virus (EBV) but other documented aetiologies include neoplasia, other viral/bacterial infections, acute and chronic pancreatitis, amyloidosis and anticoagulant medications. There are four previous reports of cocaine-associated ASR but never before has it been documented in combination with concurrent acute EBV infection.CASE SUMMARYA 21-year-old man presented to hospital with acute left shoulder pain which radiated to the right shoulder and upper abdomen. He denied any history of recent trauma and had no relevant past medical history. He took no regular prescription medications but had used cocaine within the previous 24 h. Investigations revealed splenomegaly, a Grade 3 subcapsular splenic haematoma, moderate haemoperitoneum and an incidental 9 mm splenic artery pseudoaneurysm. There was also serological evidence of acute EBV infection. Prophylactic endovascular embolisation of the pseudoaneurysm was performed and the splenic rupture was managed non-operatively. The patient remained admitted in hospital for seven days and did not require any transfusion of blood products. Serial imaging showed complete resolution of the haemoperitoneum after 5 wk. The importance of abstinence from illicit drug use was emphasised to the patient but it is unknown whether or not he remains compliant.CONCLUSIONThis case demonstrates that ASR is a rare condition that can result from acute EBV infection and cocaine ingestion and requires a high index of suspicion to diagnose clinically.

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“…For the detection of mesenteric aneurysms, studies have demonstrated a rate of accuracy with CTA that is comparable (but still inferior) to that of DSA. [45][46][47] Administration of arterial contrast can help to identify whether a suspicious fluid collection is intimately related to local vasculature by identifying enhancement in the arterial phase. Aneurysms, which are derived from parent arteries, will therefore demonstrate arterial enhancement compared with other mimicking pathologies such as cysts.…”

Section: General Diagnostic Considerationsmentioning

confidence: 99%

Visceral Artery Aneurysms and Pseudoaneurysms: Etiology, Diagnosis, and Endovascular Management

Kapoor

Karuppasamy

2018

Dig Dis Interv

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Visceral artery aneurysms (VAAs) are rare entities arising from several locations in the mesenteric vasculature. The etiology, clinical presentation, and subsequent management of these aneurysms vary widely. Although true aneurysms and pseudoaneurysms can present similarly on imaging, by definition they are distinct in their structural composition and hence may require tailored interventional planning. Treatment conventionally involves open surgery, endovascular intervention or careful observation. Recently, endovascular approaches have shown increasing popularity given the higher success rates and shorter lengths of stay with these procedures versus surgery. Optimal endovascular treatment planning is determined by the interventionalist based on unique features of each aneurysm and underlying vascular anatomy. This article reviews the etiology, diagnosis, and endovascular management for VAAs and pseudoaneurysms.

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Diagnosis of double splenic artery pseudoaneurysm: CT scan versus angiography

Cited by 5 publications

References 9 publications

A Case of Cecal Diverticulitis Complicated by Pseudoaneurysm in the Ileocolic Artery

A Case of Cecal Diverticulitis Complicated by Pseudoaneurysm in the Ileocolic Artery

Atraumatic splenic rupture after cocaine use and acute Epstein-Barr virus infection: A case report and review of literature

Visceral Artery Aneurysms and Pseudoaneurysms: Etiology, Diagnosis, and Endovascular Management

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