CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2020; 4(02): 111-114
DOI: 10.1055/s-0039-3401395
Case Report

Percutaneous Transgastric–Transpancreatic Treatment of a Dissecting Splenic Artery Pseudoaneurysm due to Segmental Arterial Mediolysis

Pradesh Kumar
1   Department of Vascular and Interventional Radiology, Singapore General Hospital, Singapore
,
Jasmine Ming Er Chua
1   Department of Vascular and Interventional Radiology, Singapore General Hospital, Singapore
,
Jared Jue Ying Yeo
1   Department of Vascular and Interventional Radiology, Singapore General Hospital, Singapore
,
Edward Tieng Chek Choke
2   Department of Vascular Surgery, Sengkang General Hospital, Singapore
,
Pooja Sachdeva
3   Department of General Medicine, Sengkang General Hospital, Singapore
› Institutsangaben

Abstract

Dissecting splenic artery pseudoaneurysm due to segmental arterial mediolysis (SAM) is a rare condition. We describe a case of direct percutaneous transgastric–transpancreatic thrombin injection into a dissecting splenic artery pseudoaneurysm due to SAM. The direct thrombin injection resulted in successful thrombosis of the pseudoaneurysm. At 1-month follow-up, the patient remained well with persistent thrombosis of the pseudoaneurysm.



Publikationsverlauf

Artikel online veröffentlicht:
15. April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Noh SY, Shin JH, Yoon H-K, Ko G-Y, Sung K-B. Segmental arterial mediolysis: literature review focused on radiologic findings and management. Gastrointest Interv 2016; 5 (01) 22-26
  • 3 Slavin RE. Segmental arterial mediolysis: a clinical-pathologic review, its role in fibromuscular dysplasia and description and differential diagnosis of the masquerader-muscular artery cystic necrosis. World J Cardiovasc Dis 2013; 03 (01) 64-81
  • 2 Pillai AK, Iqbal SI, Liu RW, Rachamreddy N, Kalva SP. Segmental arterial mediolysis. Cardiovasc Intervent Radiol 2014; 37 (03) 604-612
  • 4 Kang SS, Labropoulos N, Mansour MA. et al. Expanded indications for ultrasound-guided thrombin injection of pseudoaneurysms. J Vasc Surg 2000; 31 (02) 289-298
  • 5 Elford J, Burrell C, Freeman S, Roobottom C. Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysms. Cardiovasc Intervent Radiol 2002; 25 (02) 115-118
  • 6 Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 2005; 25 (01) Suppl 1 S173-S189
  • 7 Chauhan U, Puri SK, Jain N. et al. Percutaneous thrombin injection under sonographic guidance for exclusion of non-catheterizable post-pancreatitis pseudoaneurysm of the superior mesenteric artery: a minimally invasive and expeditious treatment option. J Med Ultrason (2001) 2016; 43 (02) 295-299
  • 8 D’Onofrio M, De Robertis R, Barbi E. et al. Ultrasound-guided percutaneous fine-needle aspiration of solid pancreatic neoplasms: 10-year experience with more than 2,000 cases and a review of the literature. Eur Radiol 2016; 26 (06) 1801-1807
  • 9 Gamanagatti S, Thingujam U, Garg P, Nongthombam S, Dash NR. Endoscopic ultrasound guided thrombin injection of angiographically occult pancreatitis associated visceral artery pseudoaneurysms: case series. World J Gastrointest Endosc 2015; 7 (13) 1107-1113
  • 10 Hashimoto T, Deguchi J, Endo H, Miyata T. Successful treatment tailored to each splanchnic arterial lesion due to segmental arterial mediolysis (SAM): report of a case. J Vasc Surg 2008; 48 (05) 1338-1341