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Splenic artery pseudoaneurysm: Challenges of non-invasive and endovascular diagnosis and management
Ruhaid Khurram1, Yasser Al-Obudi1, Thomas Edward Glover1
1Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London, NW3 2QG, UK.
Abstract:
Splenic artery pseudoaneurysms (PAs) are uncommon and often occur as a complication of pancreatitis or trauma. Unlike true aneurysms, PAs are symptomatic in a majority of cases and patients can present with a constellation of non-specific symptoms. Diagnosis can be challenging due to variation in presenting features and mimicking pathologies. PAs are associated with a very high morbidity and mortality if left untreated. We present an unusual case of a 47-year-old gentleman diagnosed with a splenic artery pseudoaneurysm despite initial negative catheter angiography and discuss the challenges of splenic artery pseudoaneurysm diagnosis and management.
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