PDF(Pubmed)
Abstract：
BACKGROUND: Splenic artery pseudoaneurysm is a rare complication of recurrent pancreatitis usually presenting as an incidental finding on abdominal computed tomography.
METHODS: We present the case of a 66-year-old north African male with a known history of previous pancreatitis who presented with upper gastrointestinal bleeding along with recurrent epigastric pain for 3 days. Investigations did not reveal any particular pancreatitis etiology. Computed tomography of the abdomen with contrast showed splenic artery pseudoaneurysm along with findings suggestive of acute pancreatitis. Upper and lower endoscopies failed to identify gastrointestinal the bleed source. The patient underwent intervention radiology embolization of the aneurysm sac with multiple coils via right retrograde common femoral artery-celiac access. The patient was discharged with a plan for capsule endoscopy in outpatient setting.
CONCLUSIONS: Splenic artery pseudoaneurysm is a life-threatening complication and carries a high mortality rate if left untreated. Prompt identification through various imaging modalities, followed by urgent intervention, is crucial to avoid adverse outcomes.
METHODS: We present the case of a 66-year-old north African male with a known history of previous pancreatitis who presented with upper gastrointestinal bleeding along with recurrent epigastric pain for 3 days. Investigations did not reveal any particular pancreatitis etiology. Computed tomography of the abdomen with contrast showed splenic artery pseudoaneurysm along with findings suggestive of acute pancreatitis. Upper and lower endoscopies failed to identify gastrointestinal the bleed source. The patient underwent intervention radiology embolization of the aneurysm sac with multiple coils via right retrograde common femoral artery-celiac access. The patient was discharged with a plan for capsule endoscopy in outpatient setting.
CONCLUSIONS: Splenic artery pseudoaneurysm is a life-threatening complication and carries a high mortality rate if left untreated. Prompt identification through various imaging modalities, followed by urgent intervention, is crucial to avoid adverse outcomes.
摘要：
背景：脾动脉假性动脉瘤是复发性胰腺炎的一种罕见并发症，通常表现为腹部计算机断层扫描的偶然发现。
方法：我们介绍了一例66岁的北非男性，其既往有胰腺炎病史，出现上消化道出血并反复上腹疼痛3天。调查未发现任何特定的胰腺炎病因。腹部CT造影显示脾动脉假性动脉瘤，并提示急性胰腺炎。上下内镜未能确定胃肠道出血源。该患者通过右逆行股动脉-腹腔通道对多个线圈进行了动脉瘤囊的介入放射学栓塞。患者出院，并计划在门诊进行胶囊内窥镜检查。
结论：脾动脉假性动脉瘤是一种危及生命的并发症，如果不治疗，死亡率很高。通过各种成像方式迅速识别，随后是紧急干预，对于避免不良后果至关重要。
方法：我们介绍了一例66岁的北非男性，其既往有胰腺炎病史，出现上消化道出血并反复上腹疼痛3天。调查未发现任何特定的胰腺炎病因。腹部CT造影显示脾动脉假性动脉瘤，并提示急性胰腺炎。上下内镜未能确定胃肠道出血源。该患者通过右逆行股动脉-腹腔通道对多个线圈进行了动脉瘤囊的介入放射学栓塞。患者出院，并计划在门诊进行胶囊内窥镜检查。
结论：脾动脉假性动脉瘤是一种危及生命的并发症，如果不治疗，死亡率很高。通过各种成像方式迅速识别，随后是紧急干预，对于避免不良后果至关重要。
