EJMCR. 2020; 4(5): 180-182

A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms

Authors: Rohan Nandurkar, Ronny Kuang, Warren Clements.

ABSTRACT

Background: Splenic laceration is the most common injury following blunt abdominal trauma. The injury is characterized by the presence of parenchymal laceration; however, vascular lesions may also be seen such as pseudoaneurysms. Multiple pseudoaneurysms are rare complication. Delayed treatment is traditionally with splenectomy, however, small case series of the use of embolization have been described. Case Presentation: A 29-year-old female presented with left upper quadrant pain 22 days after a motor vehicle accident; she was hemodynamically stable. Computed tomography imaging with contrast enhancement demonstrated American Association Staging of Trauma grade IV splenic artery injury with multiple large splenic artery pseudoaneurysms. The patient proceeded to angiography and was treated with proximal coil embolization. Ultrasound demonstrated pseudoaneurysm thrombosis at 4 days and again at 6 weeks after treatment. Conclusion: This case demonstrates the success of splenic artery embolization in achieving non-operative management of blunt splenic injury in a sub-acute setting, even with the presence of multiple large splenic artery pseudoaneurysms.

Keywords:
Case report, splenic injury, pseudoaneurysm, embolization


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A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms


Authors
Rohan Nandurkar
Department of Radiology, Alfred Hospital, Melbourne, Australia
PubMed articlesGoogle scholar articles

Ronny Kuang
Department of Radiology, Alfred Hospital, Melbourne, Australia
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Warren Clements
Department of Radiology, Alfred Hospital, Melbourne, Australia
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Correspondence to:
. Warren Clements, Alfred Hospital, 55 Commercial Rd, Melbourne VIC 3004 Australia; w.clements@alfred.org.au

Publication history
Received 30 Apr 2020
Accepted 18 May 2020
Published online 08 Jun 2020
Published in print 16 Jun 2020

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Pubmed Style

Nandurkar R, Kuang R, Clements W. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR. 2020; 4(5): 180-182. doi:10.24911/ejmcr/173-1588245815


Web Style

Nandurkar R, Kuang R, Clements W. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. https://www.ejmcr.com/?mno=103351 [Access: July 11, 2020]. doi:10.24911/ejmcr/173-1588245815


AMA (American Medical Association) Style

Nandurkar R, Kuang R, Clements W. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR. 2020; 4(5): 180-182. doi:10.24911/ejmcr/173-1588245815


Vancouver/ICMJE Style

Nandurkar R, Kuang R, Clements W. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR. (2020), [cited July 11, 2020]; 4(5): 180-182. doi:10.24911/ejmcr/173-1588245815


Harvard Style

Nandurkar, R., Kuang, . R. & Clements, . W. (2020) A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR, 4 (5), 180-182. doi:10.24911/ejmcr/173-1588245815


Turabian Style

Nandurkar, Rohan, Ronny Kuang, and Warren Clements. 2020. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. European Journal of Medical Case Reports, 4 (5), 180-182. doi:10.24911/ejmcr/173-1588245815


Chicago Style

Nandurkar, Rohan, Ronny Kuang, and Warren Clements. "A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms." European Journal of Medical Case Reports 4 (2020), 180-182. doi:10.24911/ejmcr/173-1588245815


MLA (The Modern Language Association) Style

Nandurkar, Rohan, Ronny Kuang, and Warren Clements. "A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms." European Journal of Medical Case Reports 4.5 (2020), 180-182. Print. doi:10.24911/ejmcr/173-1588245815


APA (American Psychological Association) Style

Nandurkar, R., Kuang, . R. & Clements, . W. (2020) A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. European Journal of Medical Case Reports, 4 (5), 180-182. doi:10.24911/ejmcr/173-1588245815


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