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CT abdomen showing intra peritoneal hematoma.
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CT angiogram showed large amount of free intra peritoneal fluid and a splenic artery aneurysm with intravenous contrast extravasation consisting of intra peritoneal hemorrhage (Figs. 1 and 2).
CT abdomen showing splenic artery aneurysm and contrast extravasation.
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CT angiogram showed large amount of free intra peritoneal fluid and a splenic artery aneurysm with intravenous contrast extravasation consisting of intra peritoneal hemorrhage (Figs. 1 and 2).
Excised specimen showing the splenic artery (artery clamp through) and the site of the aneurysm rupturing into the pancreas close to the hilum.
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The splenic artery was ligated proximally, followed by a splenectomy with distal pancreatectomy to excise the aneurysm that was inseparable from the pancreatic tail (Fig. 3).