Case Report
Volume: 4 | Issue: 5 | Published: Jun 08, 2020 | Pages: 180 - 182 | DOI: 10.24911/ejmcr/173-1588245815
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
Article Info
Authors
Rohan Nandurkar
Department of Radiology, Alfred Hospital, Melbourne, Australia
Ronny Kuang
Department of Radiology, Alfred Hospital, Melbourne, Australia
Warren Clements
Department of Radiology, Alfred Hospital, Melbourne, Australia
Publication History
Received: April 30, 2020
Accepted: May 18, 2020
Published: June 08, 2020
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, green
Pubmed Style
Rohan Nandurkar, Ronny Kuang, Warren Clements. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR. 2020; 08 (June 2020): 180-182. doi:10.24911/ejmcr/173-1588245815
Web Style
Rohan Nandurkar, Ronny Kuang, Warren Clements. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. https://ejmcr.com/articles/1432 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1588245815
AMA (American Medical Association) Style
Rohan Nandurkar, Ronny Kuang, Warren Clements. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR. 2020; 08 (June 2020): 180-182. doi:10.24911/ejmcr/173-1588245815
Vancouver/ICMJE Style
Rohan Nandurkar, Ronny Kuang, Warren Clements. A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR. (2020), [cited December 04, 2024]; 08 (June 2020): 180-182. doi:10.24911/ejmcr/173-1588245815
Harvard Style
Rohan Nandurkar, Ronny Kuang, Warren Clements (2020) A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. EJMCR, 08 (June 2020): 180-182. doi:10.24911/ejmcr/173-1588245815
Chicago Style
Rohan Nandurkar, Ronny Kuang, Warren Clements. "A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms." 08 (2020), 180-182. doi:10.24911/ejmcr/173-1588245815
MLA (The Modern Language Association) Style
Rohan Nandurkar, Ronny Kuang, Warren Clements. "A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms." 08.June 2020 (2020), 180-182. Print. doi:10.24911/ejmcr/173-1588245815
APA (American Psychological Association) Style
Rohan Nandurkar, Ronny Kuang, Warren Clements (2020) A case report of splenic artery embolization after delayed presentation following blunt abdominal trauma, complicated by multiple large splenic artery pseudoaneurysms. , 08 (June 2020), 180-182. doi:10.24911/ejmcr/173-1588245815