Giant Splenic Artery Pseudoaneurysm

Abstract

Our recommendation is that splenic artery pseudoaneurysms should be repaired when encountered, regardless of aneurysm size at presentation.

Surgical Treatment of Splenic Artery Pseudoaneurysm with Digestive Tract Communication - Presentation of Two Cases

“…In literature it is considered to be the gold standard for diagnosis and provide deferential diagnosis from a simple pseudo-cyst or peripancreatic fluid collections. (16,17) Control of the involved artery can be obtained by embolization or stenting. This can be performed even in patients with massive bleeding in order to control the bleed and thus hopping to reduce the complication rate.…”

Pseudoaneurysm of the radial branch of the splenic artery with pancreatic pseudocyst in a child with recurrent acute pancreatitis: treatment with endovascular stent graft and cystogastrostomy

“…Use of the latest multidetector computed technology provides better resolution and 3-dimensional cross-sectional images [10]. Digital angiography confirms the diagnosis, delineates the site of the lesion and collateral vessels, and allows access for endovascular treatment [1,4].…”

“…Splenic artery pseudoaneurysm warrants active management, irrespective of its size and the presence/absence of symptoms because of its propensity to rupture, which is associated with a high mortality [1,4]. The present consensus on management of SAP proposes individualized treatment, with surgery and endovascular treatment having a complementary role [4].…”

“…In a comprehensive review of splenic artery pseudoaneurysm (SAP) in adults, published in 2011, Goldberg et al [1] identified 160 cases reported over a period of 43 years. The incidence and natural history of SAP in children, however, is not well documented.…”

Aneurisma esplénico asociado a una fístula arteriovenosa hiliar

“…Se aceptan como indicaciones los AAE sintomáticos, las mujeres en edad fértil o embarazadas, AAE que hayan crecido y los mayores de 2 cm 1,14 . Los < 2 cm son motivo de controversia pues algunos autores abogan por la vigilancia mediante técnicas de imagen cada 6-12 meses 15,16 y otros defienden el tratamiento por la alta morbimortalidad asociada con la cirugía de urgencias tras su ruptura [17][18][19] .…”