Splenic Pseudoaneurysm in a Child With Hereditary Pancreatitis

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

“…Although the longterm durability and patency of the stent grafts remain unknown, complete stent graft patency has been shown at midterm follow-up of patients, as seen in our patient with a mean follow-up of 2 years [4,12]. There are some reports in the literature that suggest that endovascular treatment of the SAP may be followed by resolution of the pancreatic pseudocyst [3]. However, in our patient, symptomatic persistence of the pseudocyst warranted surgery with internal drainage of the pseudocyst.…”

“…Srinivas et al [6] reported a case of SAP in a 12-year-old boy with chronic calcific pancreatitis, managed by pancreatoduodenal resection. Fuchs et al [3] described TCE of SAP in a 5-year-old boy with hereditary pancreatitis. Recurrent acute pancreatitis was suggested in our case by the history of recurring attacks of colicky upper abdominal pain with periods of remission.…”

“…Endovascular treatment offers the distinct advantage of splenic preservation in children. Transcatheter embolization (TCE) of pediatric SAP has been described previously [2,3]. More recently, endovascular stent grafts have been used to treat SAP in adults with lower risk of splenic infarction as compared with embolization [4].…”