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Axial sections from the contrast-enhanced computed tomography (CECT). Black arrow: splenic artery pseudoaneurysm arising from the distal third of the artery. Orange arrow: calcifications within the pancreatic parenchyma.
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He also had a history of hematemesis for which he was evaluated with triphasic abdominal contrast-enhanced computed tomography (CECT) (Figure 1).
Digital subtraction angiography showing the pseudoaneurysm along with its feeding vessels, which were identified and coil embolized.
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The splenic artery pseudoaneurysm was identified and a total of three coils were used for embolization (2 coils proximally and 1 coil distally) and no stents were used (Figure 2).
Post coil embolization abdominal CECT showed a giant splenic artery pseudoaneurysm which was still active. Black arrow: giant pseudoaneurysm. Orange arrow: calcifications.
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His abdominal CECT showed a giant splenic artery pseudoaneurysm with calcifications in the pancreatic parenchyma (Figure 3).
Intraoperative image showing a thrombosed SAP sac, which was opened, and clots were evacuated.
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After obtaining supraceliac aorta control, we directly opened the sac and an arterial spurt was identified and ligated (Figure 4).
Intraoperative image showing the thrombosed splenic vein, which was identified and ligated.
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Since the splenic vein was thrombosed, it was identified and ligated (Figure 5), followed by splenectomy.