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DOI: 10.1055/s-0041-1726656
Splenic Arteriovenous Fistula with Pseudoaneurysm

A 24-year-old male patient with a history of laparoscopic splenectomy presented to the outpatient clinic with pain and fullness in the left upper quadrant of the abdomen. Physical examination and laboratory results were unremarkable. Contrast-enhanced computed tomography (CT) showed aneurysm with a maximum diameter of 30 mm on the distal part of the tortuous splenic artery and splenic arteriovenous fistula and early opacification of the splenic vein ( [Fig. 1A], [B] ). Three-dimensional CT reconstruction revealed aneurysm and connection between the splenic artery and vein ( [Fig. 1C] ). Aneurysm was interpreted in favor of pseudoaneurysm in the case with a splenectomy history. Splenic artery pseudoaneurysm with splenic arteriovenous fistula infrequently occurs as a complication of splenectomy. Rupture and portal hypertension are potential complications. This patient subsequently underwent endovascular intervention, treated with coil embolization, and has continued to do well on clinical follow-up visits.


Publication History
Article published online:
17 April 2021
© 2021. Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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