Korean J Med.  2012 Jan;82(1):100-104.

Giant Splenic Artery Pseudoaneurysm Presenting with Acute Kidney Injury

• Park JH
• Song L
• Jhun BW
• Jung HA
• Jang HR
• Oh HY
• Kim YG

Abstract

Splenic artery pseudoaneurysm is a rare, but potentially lethal, vascular lesion. The mortality rate may be 75-90%, if the aneurysm ruptures. The risk for rupture of an untreated splenic artery pseudoaneurysm is about 37%. Hence, early diagnosis and prompt surgical intervention are vital to improve survival. However, vague symptoms make early diagnosis difficult. We report here a case of a giant splenic artery pseudoaneurysm presenting with acute kidney injury. The patient had been treated previously for infective endocarditis, and after 4 months, acute kidney injury developed. Imaging studies revealed a giant splenic artery pseudoaneurysm. Splenectomy and distal pancreatectomy were performed. After surgery, renal function was improved.

Keyword

Pseudoaneurysm; Acute kidney injury; Endocarditis

MeSH Terms

Acute Kidney Injury
Aneurysm
Aneurysm, False
Early Diagnosis
Endocarditis
Humans
Pancreatectomy
Rupture
Splenectomy
Splenic Artery