Table 3. Pseudoaneurysms in which no intervention was done.
Serial no. | Pathological vessel | Presentation | Etiology | Management/Outcome |
---|---|---|---|---|
1. | Left gastric artery pseudo aneurysm | Intermittent GI bleed | Gastric cancer | Planned for embolization, massive GI bleed and death |
2. | SMA pseudoaneurysm | Post-laparotomy hemorrhagic drain | Post-Whipple's SMA repaired perop, peripancreatic collection | Planned for covered stent, death after massive hemorrhage into peritoneal cavity |
3. | Multiple mesenteric pseudoaneurysms | Abdominal distension | Infective endocarditis, multiple vegetations, mycotic aneurysms | Managed by intravenous antibiotics, died because of hemoperitoneum |
4. | Large celiac artery pseudoaneurysm | Abdominal distension and tenderness after RTA | Posttraumatic, post-laparotomy, portal vein and liver laceration repaired | Planned for balloon-assisted thrombin injection. Spontaneous thrombosis and resolution a |
5. | Splenic artery branch pseudoaneurysm | Detected on postoperative CT | Post-modified Whipple's | Spontaneous resolution |
6. | Multiple pancreaticoduodenal arcade aneurysm | Detected on CT during evaluation for pancreatitis | Acute pancreatitis | Spontaneous resolution |
Abbreviations: CT, computed tomography; GI, gastrointestinal; RTA, road traffic accident; SMA, superior mesenteric artery.
Case of vehicular accident with a large pseudoaneurysm arising from the celiac trunk. Planned for balloon-assisted percutaneous thrombin injection. However, in subsequent imaging partial thrombosis of the aneurysm was noted and the patient was kept on watchful surveillance. Complete thrombosis of the pseudoaneurysm was noted.