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. 2023 Feb 13;32(2):113–120. doi: 10.1055/s-0043-1761292

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.

a

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.