Microcoils embolization of splenic artery pseudoaneurysm complicated with chronic pancreatitis

Leo Leung-chit Tsang1, Tze Yu Lee, Tai Yi Chen

  • 1Department of Diagnostic Radiology, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan.

Insights

Chronic pancreatitis can cause dangerous pseudoaneurysms, leading to bleeding. Superselective embolization successfully treated a splenic artery pseudoaneurysm in a patient, preserving the spleen and ensuring a full recovery.

Area of Science:

  • Gastroenterology and Interventional Radiology

Background:

  • Chronic pancreatitis is a risk factor for vascular complications.
  • Pseudoaneurysms of peripancreatic arteries can result from chronic pancreatitis.
  • Massive gastrointestinal bleeding is a potential consequence of these pseudoaneurysms.

Observation:

  • A 30-year-old male presented with a splenic artery pseudoaneurysm secondary to chronic pancreatitis.
  • The pseudoaneurysm was causing significant bleeding.

Findings:

  • Superselective microcoils embolization was performed to treat the splenic artery pseudoaneurysm.
  • The procedure successfully controlled the bleeding.
  • The patient's spleen was preserved.
  • The patient recovered completely and was discharged within 2 days.

Implications:

  • Superselective transcatheter embolization is a safe and effective treatment for pancreatitis-induced pseudoaneurysms.
  • This minimally invasive technique offers a valuable therapeutic option for managing such vascular complications.
  • Spleen preservation is achievable with this interventional approach.

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