Traumatic splenic laceration (grade IV) with splenic artery pseudoaneurysm

Case contributed by RMH Core Conditions

Presentation

Car vs pole at 60 km/hr.

Patient Data

Age: 20
Gender: Male

A grade 4 splenic laceration, with several parenchymal fracture lines, is present and there is evidence of active arterial extravasation from the anterior aspect of laceration.

A moderately large amount of free intra-abdominal fluid is present.

There is no para-aortic haematoma or aortic dissection seen.No evidence of renal or hepatic laceration is seen. No definite evidence of pancreatic injury is seen. No free intra-abdominal gas is seen. There is no lumbar spine or pelvic bone fracture seen.

Midpole splenic artery pseudoaneurysm. No active bleeding at the time of angio.

Progreat microcatheter used. Pseudoaneurysm excluded with 5 of 2 x 5mm Figure-8-Pushable-0.14 coils. Main Splenic artery embolised at the hilum, using 5 of 5 x 40mm Helical-35- Pushable coils.

Case Discussion

This cases demonstrates a splenic artery pseudoaneurysm, a common complication of blunt abdominal trauma and a successful trauma splenic embolisation. 

PlayAdd to Share

Case information

rID: 28448
Case created: 26th Mar 2014
Last edited: 14th Oct 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.