Rare case report of ruptured splenic artery pseudoaneurysm: a complication of chronic pancreatitis

Santosh Kumar Pandey; M. S. I. Siddiqui; Gaurav Sharma; Tanya; Ashish Jangid

doi:10.18203/2320-6012.ijrms20260983

Authors

Santosh Kumar Pandey Department of Medicine, Heritage IMS, Varanasi, Uttar Pradesh, India
M. S. I. Siddiqui Department of Medicine, Heritage IMS, Varanasi, Uttar Pradesh, India
Gaurav Sharma Department of Radiodiagnosis, Heritage IMS, Varanasi, Uttar Pradesh, India
Tanya Department of Obstetrics and Gynaecology, ESIC Medical College, Varanasi, Uttar Pradesh, India
Ashish Jangid Department of Medicine, Heritage IMS, Varanasi, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20260983

Keywords:

Splenic artery pseudoaneurysm, Chronic pancreatitis, Microcoil embolization

Abstract

Splenic artery pseudoaneurysm is a rare complication of chronic pancreatitis. It is a life-threatening complication that can be fatal if missed both clinically and radiologically. While the diagnosis of chronic pancreatitis is straight forward, identifying associated vascular complications like splenic artery pseudoaneurysm can be challenging, often leading to diagnostic dilemma. The same can result in fatal complications and delayed treatment, thus contributing to both morbidity and mortality. We present the case of 37-year-old male who presented to us with two weeks history of left upper abdominal pain in the background of chronic pancreatitis. The patient was managed conservatively using microcoil embolization and was discharged in stable condition. Our case report aims to highlight the importance of recognizing this infrequent complication of chronic pancreatitis in the setting of acute abdomen. The case report also emphasises the role of newer imaging techniques and interventions in its prompt diagnosis and management.

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References

Tulsyan N, Kashyap VS, Greenberg RK, Sarac TP, Clair DG, Pierce G, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45(2):276-83. DOI: https://doi.org/10.1016/j.jvs.2006.10.049

Tessier DJ, Stone WM, Fowl RJ, Abbas MA, Andrews JC, Bower TC, et al. Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literature. J Vasc Surg. 2003;38(5):969-74. DOI: https://doi.org/10.1016/S0741-5214(03)00710-9

Busuttil RW, Brin BJ. The diagnosis and management of visceral artery aneurysms. Surgery. 1980;88(5):619-24.

Mattar SG, Lumsden AB. The management of splenic artery aneurysms: experience with 23 cases. Am J Surg. 1995;169(6):580-4. DOI: https://doi.org/10.1016/S0002-9610(99)80225-6

Huang IH, Zuckerman DA, Matthews JB. Occlusion of a giant splenic artery pseudoaneurysm with percutaneous thrombin-collagen injection. J Vasc Surg. 2004;40(3):574-7. DOI: https://doi.org/10.1016/j.jvs.2004.06.020

LiPuma JP, Sachs PB, Sands MJ, Stuhlmiller S, Herbener TE. Angiography/interventional case of the day: splenic artery pseudoaneurysm associated with pancreatitis. AJR Am J Roentgenol. 1997;169(1):259,62-63. DOI: https://doi.org/10.2214/ajr.169.1.9207539

Ghasura AA, Patil KH, Prajapati B, Oza V, Agarbattiwala R. Gastroduodenal artery pseudoaneurysm due to pancreatitis. J of Evolution of Med and Dent Sci. 2014;3(15):4036-41. DOI: https://doi.org/10.14260/jemds/2014/2396

Jain S, Rajendran V, Jain MK, Kori R. Hemorrhagic Pseudocyst of Pancreas Treated with Coil Embolization of Gastroduodenal Artery: A Case Report and Review of Literature. Case Rep Surg. 2015;2015:480605. DOI: https://doi.org/10.1155/2015/480605

Young RC, Singh G, Grant EG, Palmer SL, Mateo R, Selby R, et al. Gastroduodenal Artery Pseudoaneurysm Secondary to Pancreatic Head Biopsy. J Ultrasound Med. 2004;23(7):997-1001. DOI: https://doi.org/10.7863/jum.2004.23.7.997