Abstract：
This case report and review describes a 31-year-old man with a history of chronic pancreatitis who presented to the hospital with shortness of breath and left-sided chest pain. Three days prior, he underwent mid-splenic artery embolization due to hematemesis attributed to a splenic artery pseudoaneurysm associated with a peripancreatic pseudocyst. Upon this presentation, the patient reported increasing shortness of breath, left-sided pleuritic chest pain, and epigastric and left upper quadrant abdominal pain. Imaging revealed left pleural effusion, splenic infarcts, and adjacent fluid collections. Thoracentesis confirmed an exudative effusion. The pleural effusion was attributed to recent splenic artery embolization, and the patient was discharged on appropriate medications in stable condition on the sixth day of hospitalization. This case underscores the importance of considering embolization-related complications in the differential diagnosis of pleural effusions following such procedures. The etiology, diagnosis, and management of splenic artery aneurysms are discussed in this review.
摘要：
此病例报告和评论描述了一名31岁的有慢性胰腺炎病史的男子，他因呼吸急促和左侧胸痛而住院。三天前,他因与胰腺周围假性囊肿相关的脾动脉假性动脉瘤所致的吐血而接受了脾动脉栓塞术。在这次演讲中，患者报告呼吸急促增加,左侧胸膜炎性胸痛，上腹部和左上腹腹痛。影像学显示左侧胸腔积液，脾梗死,和相邻的流体集合。胸腔穿刺术证实有渗出性积液。胸腔积液归因于近期脾动脉栓塞，患者在住院的第六天以适当的药物治疗出院，病情稳定。此病例强调了在进行此类手术后对胸腔积液进行鉴别诊断时考虑栓塞相关并发症的重要性。病因,诊断,本文就脾动脉瘤的治疗进行综述。
