Abstract：
We present a compelling case of an elderly male with a complex medical history who presented with sepsis secondary to a urinary tract infection. During admission, changes in his abdominal exam prompted imaging studies, which revealed a grade IV splenic laceration with a giant splenic artery pseudoaneurysm containing a suspected arteriovenous fistula component. Multidisciplinary discussion was had regarding patient management which resulted in the decision to perform an emergent splenectomy. Learning points from this case underscore the crucial role of interdisciplinary collaboration in the treatment of this pathology. Additionally, we discuss the decision-making process to support surgical intervention in the absence of clear guidelines in this exceedingly rare condition.
摘要：
我们提出了一个令人信服的病例，该病例具有复杂的病史，患有继发于尿路感染的败血症。入院期间,他腹部检查的变化促使影像学检查，显示IV级脾裂伤，伴有巨大的脾动脉假性动脉瘤，其中包含可疑的动静脉瘘成分。有关患者管理的多学科讨论导致决定进行紧急脾切除术。从这种情况下的学习要点强调了跨学科合作在这种病理治疗中的关键作用。此外,我们讨论了在这种极为罕见的情况下,在缺乏明确指南的情况下,支持手术干预的决策过程.
