Abstract
Background: Splenic artery pseudo-aneurysm (SAP) is an unusual condition, which is usually developed by sequela of either pancreatitis or abdominal blunt trauma. It is reported as idiopathic, rarely as a manifestation of postoperative complications or peptic ulcer diseases. Case Presentation: A case of a 2-year-old boy was presented with abdominal pain after a blunt abdominal trauma due to a road traffic accident. It was found that the abdomen was distended and left hypochondrium was tender. Ultrasonography (USG) showed an aneurysm within the spleen which was confirmed by Computed Tomography Angiography (CTA). The initial complete blood count showed slightly low hemoglobin and hematocrit values which were improved over 24 hours. Patient was managed conservatively, pre embolization assessment with color Doppler Sonography showed a significant cessation of flow within the aneurysm. Second CTA was performed after 8 days that showed complete thrombosis of the aneurysm without any intervention. Ultimately, patient was discharged after 2 weeks, and following USG showed no complications. Conclusion: Non-operative management of SAP is recommended in hemodynamically stable patients, it can be either conservative management or embolization.
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