2013 Volume 33 Issue 1 Pages 155-160
An 85-year-old man was referred to the emergency our hospital with left hypochondralgia. Abdominal CT revealed a multilocular cystic lesion filled with a blood clot and a 25mm diameter splenic pseudoaneurysm at the splenic hilum. The pseudoaneurysm which had ruptured into pancreatic pseudocysts was successfully treated with transcatheter arterial embolization (TAE). The patient's abdominal symptoms gradually diminished and the huge pancreatic pseudocyst was removed with elective distal pancreatectomy and splenectomy, three weeks after TAE. The patient's postoperative course was uneventful during a 28-month follow-up. We suggest that elective radical surgery after TAE is safe and recommendable in the management of splenic pseudoaneurysms which have ruptured into pancreatic pseudocysts.
