CASE A 60-year-old male with a medical history notable for pancreatitis and alcohol dependence presented to the emergency department with a 3-month history of left-sided abdominal pain and vomiting. Treatment Any pseudoaneurysm must be treated without delay, regardless of size or lack of patient symptoms, as the risk of spontaneous rupture is very high.2,3 As with symptomatic splenic artery aneurysms, splenectomy with or without partial pancreatectomy is the treatment of choice.4 Surgical intervention carries mortality and morbidity risks of 1.3% and 9%, respectively.4 Transcatheter embolization with metallic coils is a common treatment, as is stent-grafting with a detachable balloon and angio graphy.
Diagnostic Imaging Review RO B I N L . PE ACO C K ; U RV I S H A H , MD; A NDRES C . M A RT E-G RAU, M D; RAT HNA KA R S HE
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