Management of Visceral Mycotic Pseudoaneurysms

Abstract

Visceral arterial pseudoaneurysms are rare, however, if left untreated are associated with high rates of morbidity and mortality. Pseudoaneurysms typically develop as a result of trauma, infection, or underlying inflammatory disease. While management can be dictated by the size and etiology, clear guidelines are not well established, as there are no randomized trials to compare patient outcomes. Up to this point, management has involved antibiotic therapy, surgical debridement, and only more recently, endovascular approaches. We present a case of a 52-year-old male who postoperatively was found to have new liver, mesenteric, and splenic pseudoaneurysms which were all successfully treated through endovascular approach.