Clin Endosc.  2014 Mar;47(2):183-187. 10.5946/ce.2014.47.2.183.

Endoscopic Removal of a Migrated Coil after Embolization of a Splenic Pseudoaneurysm: A Case Report

• Han YM
• Lee JY
• Choi IJ
• Kim CG
• Cho SJ
• Lee JH
• Kim HB
• Choi JM

• KMID: 2049007
• DOI: http://doi.org/10.5946/ce.2014.47.2.183

Abstract

Splenic artery pseudoaneurysms can be caused by pancreatitis, trauma, or operation. Traditionally, the condition has been managed through surgery; however, nowadays, transcatheter arterial embolization is performed safely and effectively. Nevertheless, several complications of pseudoaneurysm embolization have been reported, including coil migration. Herein, we report a case of migration of the coil into the jejunal lumen after transcatheter arterial embolization of a splenic artery pseudoaneurysm. The migrated coil was successfully removed by performing endoscopic intervention.

Keyword

Splenic artery; False aneurysm; Therapeutic embolization; Migration; Endoscopy

MeSH Terms

Aneurysm, False*
Embolization, Therapeutic
Endoscopy
Pancreatitis
Splenic Artery

Figure

• 

  Fig. 1 (A) Computed tomography showed a pseudoaneurysm of the splenic artery (arrow) and a splenic infarct. (B) Celiac angiography revealed a pseudoaneurysm of the splenic artery (arrow).

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  Fig. 2 (A) Embolization of the pseudoaneurysm was done by using coils. (B) Angiography after coil embolization revealed total occlusion of the pseudoaneurysm. (C) Simple abdominal radiograph taken just after embolization showed the multiple coils (arrow) placed within the pseudoaneurysm and splenic artery.

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  Fig. 3 Endoscopy showed several strands of wire protruding through the jejunal lumen below the esophagojejunal anastomosis.

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  Fig. 4 A migrated coil (arrow) was seen on simple abdominal radiograph.

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  Fig. 5 (A) The wires were nearly removed by using hot biopsy forceps with an electrosurgical generator. (B) Simple abdominal radiograph showed the removed wires (arrow) protruding through the jejunal wall.

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