Spontaneous Thrombosis of the Splenic Artery Pseudoaneurysms
Authors:
J. Hájek 1; A. Krajina 1,2; R. Janoušek 1
Authors‘ workplace:
Krajská nemocnice Pardubice
1; Radiologická klinika FN a LF UK v Hradci Králové
2
Published in:
Rozhl. Chir., 2008, roč. 87, č. 5, s. 233-236.
Category:
Monothematic special - Original
Overview
The authors demonstrate relatively rare case of evolution and spontaneous thrombosis of the postpancreatitic pseudoaneurysm of the splenic artery, which developed from a pancreatic pseudocyst.
The miniinvasive therapeutic approach to the pancreatic pseudoaneurysms is discussed.
Key words:
pancreatitis – pseudoanerysm – embolisation
Sources
1. Flati, G., Andrén-Sandberg, A., La Pinta, M., Porowska, B., Carboni, M. Potentially fatal bleeding in acute pancreatitis: pathophysiology, prevention, and treatment. Pancreas, 2003; 26 (1): 8–14.
2. Carr, J. A., Cho, J. S., Shepard, A. D., et al. Visceral pseudo-aneurysms due to pancreatic pseudocysts: rare but lethal complications of pancreatitis. J. Vasc. Surg., 2000, 32, 722–730.
3. Tessier, D. J., Stone, W. M., Fowl, R. J., et al. Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literature. J. Vasc. Surg., 2003; 38: 969–974.
4. van Langenhove, P., Defreyne, L., Kunnen, M. Spontaneous thrombosis of a pseudoaneurysm complicating pancreatitis. Abdom Imaging, 1999; 24: 491–493.
5. Tang, L. J., Zipser, S., Kang, Y. S. Temporary spontaneous thrombosis of a splenic artery pseudoaneurysm in chronic pancreatitis during intravenous octreotide administration. J. Vasc. Interv. Radiol., 2005; 16: 863–866.
6. de Ronde, T., van Beers, B., de Canniere, L., et al. Thrombosis of splenic artery pseudoaneurysm complicating pancreatitis. Gut, 1993; 34: 1271–1273.
7. Dror, S., Dani, B. Z., Ur, M., Yoram, K. Spontaneous thrombosis of a splenic pseudoaneurysm after blunt abdominal trauma. J. Trauma, 2002; 53: 383–385.
8. Raghavan, A., Wong, C. K., Lam, A., Stockton, V. Spontaneous occlusion of posttraumatic splenic pseudoaneurysm: report of two cases in children. Pediatr. Radiol., 2004; 34: 355–357.
9. Abbas, M. A., Stone, W. M., Fowl, R. J., et al. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann. Vasc. Surg., 2002; 16: 442–449.
10. Dave, S. P., Reis, E. D., Hossain, A., Taub, P. J., Kerstein, M. D., Hollier, L. H. Splenic artery aneurysm in the 1990. Ann. Vasc. Surg., 2000; 14: 223–229.
11. Nicholson, A. A., Patel, J., McPherson, S., Shaw, D. R., Kessel, D. Endovascular treatment of visceral aneurysms associated with pancreatitis and a suggested classification with therapeutic implications. J. Vasc. Interv. Radiol., 2006; 17: 1279–1285.
12. Krueger, K., Zaehringer, M., Lackner, K. Percutaneous treatment of a splenic artery pseudoaneurysm by thrombin injection. J. Vasc. Interv. Radiol., 2005; 16: 1023–1025.
13. Maleux, G., van Steenbergen, W., Stockx, L., Vanbeckevoort, D., Wilms, G., Marchal, G. Multiple small pseudoaneurysms complicating pancreatitis: angiographic diagnosis and transcatheter embolization. Eur. Radiol., 2000; 10: 1127–1129.
14. Montgomery, M. L., Harisinghani, M. G., Norbash, A. M., Gervais, D. A., Kaufman, J. A., Mueller, P. R. CT and fluoroscopically guided percutaneous embolization treatment of a pseudoaneurysm associated with pancreatitis. J. Vasc. Interv. Radiol., 2005; 16: 411–415.
15. Iwama, Y., Sugimoto, K., Zamora, C. A., et al. Transcatheter embolization of splenic artery pseudo-aneurysm rupturing into colon after post-operative pancreatitis. Cardiovasc. Intervent. Radiol., 2006; 29: 133–136.
16. Shah, N. A., Akingboye, A., Haldipur, N., Mackinlay, J. Y., Jacob, G. Embolization coils migrating and being passed per rectum after embolization of a splenic artery pseudoaneurysm, „The migrating coil”: a case report. Cardiovasc. Intervent. Radiol., 2007; 30: 1259–1262.
17. Dinter, D. J., Rexin, M., Kaehler, G., Neff, W. Fatal coil migration into the stomach 10 years after endovascular celiac aneurysm repair. J. Vasc. Interv. Radiol., 2007; 18: 117–120.
18. Hamma, Y., Iwasaki, Y., Kaji, T., Hatsuse, K., Kusano, S. Coil compaction after embolization of the superior mesenteric artery pseudoaneurysm. Eur. Radiol., 2002, 12: 189–191.
19. Krajina, A., Eliáš, P., Hlava, A. Endovaskulární léčba aneuryzmat viscerálních tepen. In Ferko A, Krajina A. Arteriální aneuryzmata. Základy endovaskulární a chirurgické léčby. ATD Hradec Králové 1999; 131–139.
20. Brountzos, E. N., Vagenas, K., Apostolopoulou, S. C., Panagiotou, I., Lymberopoulou, D., Kelekis, D. A. Pancreatitis-associated splenic artery pseudoaneurysm: endovascular treatment with self-expandable stent-grafts. Cardiovasc. Intervent. Radiol., 2003; 26: 88–91.
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