Ann Surg Treat Res.  2016 Jul;91(1):56-58. 10.4174/astr.2016.91.1.56.

Endovascular stent graft for traumatic splenic vein aneurysm via percutaneous transsplenic access

• Kwon OS
• Sul YH
• Kim JS
• Kim JD

• KMID: 2327418
• DOI: http://doi.org/10.4174/astr.2016.91.1.56

Abstract

Traumatic splenic vein aneurysm (SVA) is an extremely rare entity. Traditionally, treatment varied from noninvasive followup to aneurysm excision with splenectomy. However, there has been no prior report of traumatic SVA treated with endovascular stent graft for SVA via percutaneous transsplenic access. Therefore, we report the case of a 56-year-old man successfully treated with endovascular stent graft for traumatic SVA via percutaneous transsplenic access.

Keyword

Trauma; Splenic vein; Aneurysm; Endovascular procedures

MeSH Terms

Aneurysm*
Blood Vessel Prosthesis*
Endovascular Procedures
Follow-Up Studies
Humans
Middle Aged
Splenectomy
Splenic Vein*
Stents*

Figure

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  Fig. 1 The initial CT demonstrated grade II liver laceration, splenic laceration and 22 × 18-mm-sized aneurysm-like dilated splenic vein (white arrow) with adjacent high attenuated fluid collection.

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  Fig. 2 Selective splenic arteriography demonstrated pseudoaneurysm (black arrow) to a branch supplying the lower pole of the spleen.

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  Fig. 3 Venography demonstrated the splenic vein aneurysm (white arrow) with extravasation to peritoneal cavity (black arrow).

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  Fig. 4 Venography demonstrated a patent splenic vein without filling of the aneurysm or extravasation to peritoneal cavity after stent placement.

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