Related Experiment Videos
Delayed presentation of splenic artery pseudoaneurysms following blunt abdominal trauma: case reports
M C Norotsky1, F B Rogers, S R Shackford
1Department of Surgery, University of Vermont College of Medicine, Burlington 05405, USA.
Insights
Delayed splenic artery pseudoaneurysms can occur after blunt abdominal trauma. Follow-up CT scans are crucial for nonoperatively managed splenic injuries.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Abdominal Imaging
Background:
- Splenic artery pseudoaneurysms (SAPs) are typically associated with pancreatitis or surgical complications.
- Nonoperative management is increasingly common for splenic injuries.
Observation:
- Two cases of delayed SAPs presentation following blunt abdominal trauma are reported.
- These pseudoaneurysms manifested after initial nonoperative treatment of splenic injuries.
Findings:
- This is the first documented evidence of SAPs arising secondary to blunt abdominal trauma.
- Delayed diagnosis highlights a potential complication of nonoperative splenic injury management.
Implications:
- Emphasizes the necessity of vigilant follow-up imaging in patients with splenic trauma treated nonoperatively.
- Suggests a broader differential diagnosis for delayed abdominal complications after trauma.
- Highlights the role of computed tomography (CT) in monitoring splenic trauma patients.
Abstract:
Splenic artery pseudoaneurysms are known to be caused by either pancreatitis or operative trauma. We present two patients who had delayed presentation of splenic artery pseudoaneurysms secondary to blunt abdominal trauma. This is the first report of splenic artery pseudoaneurysms following trauma and demonstrates the importance of follow-up computed tomography scans in patients with splenic injuries who are treated nonoperatively.