Endovascular Treatment of Ruptured Splenicartery Pseudo-Aneurysm Clogged by Necrosis Castings Complicating Acute Pancreatitis

Rebai L, Rebii S, Daghmouri MA, Mahfoudhi N and Zoghlemi A

Department of Anesthesiology and Critical Care Medicine, Burns and Trauma Center, Tunisia
Department of Surgery, Burns and Trauma Center, Tunisia

^*Correspondance to: Rebai Lotfi 

 PDF  Full Text DOI: 10.25107/2474-1647.2492

Abstract

The formation of pseudo-aneurysm of visceral arteries is a rare vascular complication of acute pancreatitis and the most commonly involved artery is the splenic artery. Bleeding pseudoaneurysms are associated with a high mortality. We report the clinical case of a patient with a ruptured splenic artery pseudo-aneurysm clogged by necrosis castings complicating acute pancreatitis. After stabilization of the hemodynamic state and transfusion by red blood cells, the pseudoaneurysm was treated emergency with transarterial coil embolization and the control angiography confirmed the absence of residual flow. Our case represents an example of successful management of pseudoaneurysm of the splenic artery treated with endovascular coiling without the need for surgery.

Keywords

Pseudoaneurysm; Splenic artery; Acute pancreatitis; Endovascular treatment

Cite the article

Rebai L, Rebii S, Daghmouri MA, Mahfoudhi N, Zoghlemi A. Endovascular Treatment of Ruptured Splenicartery Pseudo-Aneurysm Clogged by Necrosis Castings Complicating Acute Pancreatitis. Clin Surg. 2019; 4: 2492.