%1$s

Giant Splenic Artery Aneurysm Treated by (Spleen Sparing) Endovascular Embolization

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Background

A 48 year old female presented with dull aching epigastric pain which aggravated since last 4 days.

Diagnosis & Treatment

On evaluation, USG abdomen revealed an aneurysm in relation to splenic artery. CECT abdomen with CT angiogram revealed a large fusiform true aneurysm of size 5.5cmx 5cmx 4.5cm in relation to proximal and mid part of splenic artery.

The aneurysm was treated with Endovascular technique. The distal outflow of the aneurysm was embolized by coils followed by occlusion of proximal flow into the aneurysm by placing Amplatzer vascular plug device in the proximal splenic artery. Check DSA revealed complete occlusion of the aneurysm with preserved flow into distal splenic artery and splenic perfusion via gastroepiploic and short gastric arteries. On Post-operative day 1, Doppler study revealed completely thrombosed aneurysm. The patient was discharged in pain-free state without any need for splenectomy.

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

CT coronal reconstructed MIP image showing origin of aneurysm from splenic artery

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

VRT image showing a giant fusiform splenic artery aneurysm

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Pre embolization DSA image of splenic artery aneurysm

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Fluoro image after distal coil (arrow) embolization of the outflow of aneurysm

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Complete occlusion of aneurysm after deployment of amplatzer vascular plug (arrow) in proximal splenic artery

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Post embolization distal splenic artery is being filled from Gastroepiploic artery (arrow)

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Post embolization of aneurysm, splenic perfusion is preserved

Giant Splenic Artery Aneurysm Treated by (spleen Sparing) Endovascular Embolization

Follow up Doppler scan post-operative day 1 revealed completely thrombosed aneurysm

About Author –

Dr. Suresh Giragani, Consultant Neuro & Interventional Radiologist, Yashoda Hospitals - Hyderabad
MD (Radiology), DM (Neuroradiology)

Specialized in the comprehensive and widest range of vascular interventions covering neuro interventions, hepatobiliary interventions, venous, peripheral vascular interventions and interventions in cancer care.

best Radiologist in hyderabad

Dr. Suresh Giragani

MBBS, MD (Radiodiagnosis), DM
Senior Consultant Interventional Radiologist

Contact

  • Yes Same as WhatsApp number
  • By clicking on Send, you accept to receive communication from Yashoda Hospitals on email, SMS and Whatsapp.
×
X
Select Department
Not Sure of the Specialty?
X

Choose your date & Slot

Change Date
Monday, OCTOBER 30
Enter Patient Details

Please Note: This session ends in 3:00 mins

Not Finding Your Preferred Slots?
Change Doctor
or Location
top hospital in hyderabad
Call Helpline
040 - 4567 4567

Book Doctor Appointment

Choose the mode of consultation