A successful outcome of treatment in a patient with a spleen artery aneurysm complicated by bleeding in pseudocyst of the pancreas

Abstract

A pseudoaneurysm is a rare and potentially dangerous vascular complication of acute pancreatitis, with a mortality of 20–43% in untreated patients. Its treatment includes embolization or surgical resection. A clinical case of a 39-year-old patient, with a history of chronic pancreatitis, pseudocyst of the tail of the pancreas, as well as a false aneurysm of the splenic artery detected by means of computed tomography of abdominal organs with contrast is presented. A two-stage surgical procedure was performed. The patient was discharged in a satisfactory condition. This case shows a successful use of diagnostic techniques, as well as a stage-by-stage approach to surgical treatment of this pathology.Received 20 April 2017. Accepted 7 June 2017.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Author contributionsConception and study design: I.V. HalturinData collection and analysis: I.V. HalturinDrafting the article: I.V. HalturinResources: I.V. Halturin, S.A. Sergeev, R.G. Achmetzyanov Critical revision of the article: S.A. Sergeev, R.G. AchmetzyanovFinal approval of the version to be published: I.V. Halturin, S.A. Sergeev, R.G. Achmetzyanov