Intrasplenic Posttraumatic Pseudoaneurysm Secondary to Spleen-Salvaging Surgery

Paya, Kurosh; Wurm, Jürgen; Graf, Markus; Pichler, Peter-Paul; Oertl, M; Mayerhoffer, Wolfgang; Engels, Michael

doi:10.1097/00005373-200204000-00033

Cited by 8 publications

(4 citation statements)

References 7 publications

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“…The nonsurgical management of blunt splenic trauma gained popularity during the last two decades. TISPs have been reported more frequently, following blunt trauma [13–16], stab wound [17], iatrogenic interventional radiology, or biopsy procedures [18]. …”

Section: Discussionmentioning

confidence: 99%

Intrasplenic Arterial Aneurysms during Pregnancy

Abu-Khalaf

Al-Ameer

Smadi

et al. 2015

Case Reports in Obstetrics and Gynecology

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Splenic artery aneurysms account for about 60% of all visceral aneurysms. Pregnancy is a risk factor for splenic artery aneurysms rupture with high maternal mortality and fetal loss. Intrasplenic arterial aneurysms are extremely rare and have not been reported to be associated with pregnancy. This report presents a 34-year-old woman during the second trimester, admitted with severe left upper quadrant and left shoulder pain. She had two uncomplicated intrasplenic aneurysms. Splenectomy was done. She delivered a full term healthy girl. This is the first report of acute abdomen during pregnancy caused by intrasplenic artery aneurysms with maternal and fetal survival.

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Section: Discussionmentioning

confidence: 99%

Intrasplenic Arterial Aneurysms during Pregnancy

Abu-Khalaf

Al-Ameer

Smadi

et al. 2015

Case Reports in Obstetrics and Gynecology

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“…It can be observed that pseudoaneurysm is even bigger than the aorta. only 13 well reported cases [2][3][4][5][6][7][8][9][10][11][12][13] of this complication in the recent English literature searching in Medline (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi) (Table 1 shows 12 cases; Owens [13] reported the last case, not included because the pseudoaneurysm has already ruptured).…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Intrasplenic Pseudoaneurysm with High-Flow Arteriovenous Fistula: New Lessons to Learn

Fernández

Delgado‐Plasencia

Arteaga-González

et al. 2008

Eur J Trauma Emerg Surg

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Intrasplenic pseudoaneurysm is a potentially lethal complication of abdominal trauma. We present the case of a 33-year-old patient with this particular complication diagnosed by CT-scan. Selective embolization was not possible due to its extraordinarily large size and finally splenectomy was performed. We review the English literature and discuss the particular role of the interventional radiologist to treat this entity. The interventional radiologist is the specialist who better estimates the success of embolization or the risk and possibility of delayed splenic rupture. Embolization of the arterial tributary to the pseudoaneurysm should be considered as the treatment of choice only when the diagnosis is made before rupture of the spleen and only in selected cases. Splenectomy always remains as an alternative treatment for high-risk pseudoaneurysms.

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“…Intrasplenic traumatic pseudoaneurysm is uncommon and has an unclear natural history [8]. It has been considered responsible for secondary delayed bleeding in a few children who were treated nonsurgically [5,15], but it can also occur after mesh wrapping [3]. The exact incidence of post-splenorrhaphy pseudoaneurysm is unknown because many children do not have a long-term imaging follow-up.…”

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confidence: 99%

“…The diagnosis of our case was incidental during a routine US examination. Spontaneous thrombosis is to be expected in most intrasplenic pseudoaneurysms [15], but some consider it safer to embolize the lesion [3]. Posttraumatic splenic abscess is unusual in the immunocompetent child [4].…”

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confidence: 99%