Giant Splenic Artery Pseudo Aneurysm with Contained Rupture: Intra Operative Challenges
Published: 2021-11-08
Page: 727-731
Issue: 2021 - Volume 4 [Issue 2]
M. Venu Bhargav
ESI Institute of Medical College and Hospital, Sanath Nagar, Hyderabad, India.
Krishna Ramavath *
Department of General Surgery, AIIMS Bibinagar, Hyderabad, PIN: 508126, India.
G. Prashanth
ESI Institute of Medical College and Hospital, Sanath Nagar, Hyderabad, India.
L. Gopisingh
Department of General Surgery, AIIMS Bibinagar, Hyderabad, PIN: 508126, India.
S. Chiranjeevi
Department of General Surgery, AIIMS Bibinagar, Hyderabad, PIN: 508126, India.
K. Lekha
Department of General Surgery, AIIMS Bibinagar, Hyderabad, PIN: 508126, India.
S. Murthuza
Department of General Surgery, AIIMS Bibinagar, Hyderabad, PIN: 508126, India.
*Author to whom correspondence should be addressed.
Abstract
Splenic artery pseudo aneurysm is a rare entity. The presentation often varies so it will be a challenging case to diagnosis early and to give good outcome. It occurs due to blunt trauma abdomen, chronic pancreatitis, pseudo cyst of pancreas, liver transplantation, and peptic ulcer disease. The splenic artery aneurysm accounts for approximately 60% of all visceral arterial aneurysms. After abdominal aorta and iliac artery involvement visceral artery aneurysms arises commonly from splenic artery which is the third most common artery to involve. Even pseudoaneurysm of the splenic artery is a rare condition to occur, and fewer than 200 cases are reported in English literature till now.
Case: We are presenting a one case of giant splenic artery pseudo aneurysm of size 14x8 cm with contained rupture due to alcoholic pancreatitis of pseudo aneurysm into the pseudo cyst of pancreas and managed successfully with open surgical procedure.
Conclusion: The modality of treatment for the patients with giant splenic artery pseudo aneurysms with suspected rupture of the pseudo-aneurysm, is exploratory laparotomy. Early diagnosis and the modality of the treatment will give good prognosis to the patients.
Keywords: Chronic pancreatitis, pseudo cyst, pseudo aneurysm, splenic artery, visceral aneurysm, dsa digital subtraction angiography