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Haematochezia from a Splenic Artery Pseudoaneurysm Communicating with Transverse Colon: A Case Report and Literature Review
Joint Authors
O’Brien, James
Muscara, Francesca
Farghal, Aser
Shaikh, Irshad
Source
Case Reports in Vascular Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Splenic artery aneurysms (SAA) are the third most common intra-abdominal aneurysm.
Complications include invasion into surrounding structures often in association with preexisting pancreatic disease.
We describe an 88-year-old female, with no history of pancreatic disease, referred with lower gastrointestinal bleeding.
CT angiography showed a splenic artery pseudoaneurysm with associated collection and fistula to the transverse colon at the level of the splenic flexure.
The pseudoaneurysm was embolised endovascularly with metallic microcoils.
Rectal bleeding ceased.
The patient recovered well and follow-up angiography revealed no persistence of the splenic artery pseudoaneurysm.
SAA rupture results in 29%–50% mortality.
Experienced centres report success with the endovascular approach in haemodynamically unstable patients, as a bridge to surgery, and even on a background of pancreatic disease.
This case highlights the importance of prompt CT angiography, if endoscopy fails to identify a cause of gastrointestinal bleeding.
Endovascular embolisation provides a safe and effective alternative to surgery, where anatomical considerations and local expertise permit.
American Psychological Association (APA)
O’Brien, James& Muscara, Francesca& Farghal, Aser& Shaikh, Irshad. 2016. Haematochezia from a Splenic Artery Pseudoaneurysm Communicating with Transverse Colon: A Case Report and Literature Review. Case Reports in Vascular Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1103017
Modern Language Association (MLA)
O’Brien, James…[et al.]. Haematochezia from a Splenic Artery Pseudoaneurysm Communicating with Transverse Colon: A Case Report and Literature Review. Case Reports in Vascular Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1103017
American Medical Association (AMA)
O’Brien, James& Muscara, Francesca& Farghal, Aser& Shaikh, Irshad. Haematochezia from a Splenic Artery Pseudoaneurysm Communicating with Transverse Colon: A Case Report and Literature Review. Case Reports in Vascular Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1103017
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103017