Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma

Splenic artery pseudoaneurysms (PSA) are rare entities and far less common than true aneurysms of the splenic artery. The most common etiology is pancreatitis, recurrent either in the setting of chronic pancreatitis or as an episode of acute pancreatitis. Less common causes include trauma, peptic ul...

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Main Authors: Geraldine Abbey-Mensah, Michael M. Herskowitz, James Walsh, Robert F. Leonardo
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2018/7473168
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author Geraldine Abbey-Mensah
Michael M. Herskowitz
James Walsh
Robert F. Leonardo
author_facet Geraldine Abbey-Mensah
Michael M. Herskowitz
James Walsh
Robert F. Leonardo
author_sort Geraldine Abbey-Mensah
collection DOAJ
description Splenic artery pseudoaneurysms (PSA) are rare entities and far less common than true aneurysms of the splenic artery. The most common etiology is pancreatitis, recurrent either in the setting of chronic pancreatitis or as an episode of acute pancreatitis. Less common causes include trauma, peptic ulcer disease, or iatrogenic causes. Almost all of the trauma-related case reports have been due to blunt trauma. We believe this to be the first reported case of a splenic artery PSA presenting with massive hematemesis at a significant time frame after penetrating trauma. Successful transcatheter treatment was performed and alternative techniques are also discussed.
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institution Kabale University
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publishDate 2018-01-01
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series Case Reports in Radiology
spelling doaj-art-3c46a83f32bf4ccfae83448dd21e8e362025-08-20T03:55:37ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/74731687473168Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating TraumaGeraldine Abbey-Mensah0Michael M. Herskowitz1James Walsh2Robert F. Leonardo3Kings County Hospital Center, Department of Radiology, 451 Clarkson Ave., Brooklyn, NY 11203, USAKings County Hospital Center, Department of Radiology, 451 Clarkson Ave., Brooklyn, NY 11203, USAKings County Hospital Center, Department of Radiology, 451 Clarkson Ave., Brooklyn, NY 11203, USAKings County Hospital Center, Department of Radiology, 451 Clarkson Ave., Brooklyn, NY 11203, USASplenic artery pseudoaneurysms (PSA) are rare entities and far less common than true aneurysms of the splenic artery. The most common etiology is pancreatitis, recurrent either in the setting of chronic pancreatitis or as an episode of acute pancreatitis. Less common causes include trauma, peptic ulcer disease, or iatrogenic causes. Almost all of the trauma-related case reports have been due to blunt trauma. We believe this to be the first reported case of a splenic artery PSA presenting with massive hematemesis at a significant time frame after penetrating trauma. Successful transcatheter treatment was performed and alternative techniques are also discussed.http://dx.doi.org/10.1155/2018/7473168
spellingShingle Geraldine Abbey-Mensah
Michael M. Herskowitz
James Walsh
Robert F. Leonardo
Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma
Case Reports in Radiology
title Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma
title_full Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma
title_fullStr Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma
title_full_unstemmed Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma
title_short Massive Hematemesis from a Splenic Artery Pseudoaneurysm Presenting Two Years after Penetrating Trauma
title_sort massive hematemesis from a splenic artery pseudoaneurysm presenting two years after penetrating trauma
url http://dx.doi.org/10.1155/2018/7473168
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